2027 ICD-10-CM Diagnosis Code D86.85Sarcoid myocarditis
ICD-10-CM Codes›D50–D89›D80-D89›D86
- Billable — Valid for Submission
- Chronic Condition
D86.85 is a billable ICD-10-CM diagnosis code for sarcoid myocarditis. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 196 through 198. Coders also document this condition as cardiac sarcoidosis. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Immunity disorders and Myocarditis and cardiomyopathy.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Cardiac sarcoidosis
- Sarcoid heart muscle disease
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to D86.85: its own notes plus those printed at block D80-D89 and Chapter 3. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- defects in the complement system
- immunodeficiency disorders, except human immunodeficiency virus [HIV] disease
- sarcoidosis
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- human immunodeficiency virus [HIV] disease (B20)
- autoimmune disease (systemic) NOS (M35.9)
- certain conditions originating in the perinatal period (P00-P96)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- human immunodeficiency virus [HIV] disease (B20)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name D86.85, its category, or a range that includes it.
Excludes1 3
These codes carry an Excludes1 note naming D86.85: they are not reported together with it, unless the two conditions are unrelated.
Code First 1
These codes say to code first a condition named in the note, and D86.85 is one of the conditions named.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Myocarditis (with arteriosclerosis) (chronic) (fibroid) (interstitial) (old) (progressive) (senile) I51.4
sarcoidosis D86.85
Sarcoid See Also: Sarcoidosis;
myocarditis D86.85
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Sarcoidosis
an idiopathic systemic inflammatory granulomatous disorder comprised of epithelioid and multinucleated giant cells with little necrosis. it usually invades the lungs with fibrosis and may also involve lymph nodes, skin, liver, spleen, eyes, phalangeal bones, and parotid glands.
Patient EducationClinical
Cardiomyopathy
Cardiomyopathy is the name for diseases of the heart muscle. These diseases enlarge your heart muscle or make it thicker and more rigid than normal. In rare cases, scar tissue replaces the muscle tissue.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert D86.85 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About D86.85Overview
What is the ICD-10 code for sarcoid myocarditis?
The ICD-10-CM code for sarcoid myocarditis is D86.85 (sometimes written as D8685). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is D86.85 (Sarcoidosis of other sites) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report sarcoid myocarditis on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does D86.85 group to?
When sarcoid myocarditis is the principal diagnosis on an inpatient stay, it groups to MS-DRG 198, 197, 196, with relative weights from 0.7256 to 1.8335 depending on complications. Higher weights mean higher Medicare reimbursement.
Can D86.85 be reported with M35.9?
Not as a rule. The Excludes1 note at block D80-D89, which applies to D86.85, lists "autoimmune disease (systemic) NOS (M35.9)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
What is the ICD-9 equivalent of D86.85?
Under the General Equivalence Mappings, sarcoid myocarditis converts to ICD-9-CM 135 (sarcoidosis). The mapping is approximate, so confirm the match fits the documentation.