ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 D86.82

Billable / Specific HCC v28: 75

Multiple cranial nerve palsies in sarcoidosis

D86
Block
0
Synonyms
348
LCDs
23
Payer Policies
48
Linked CPTs

About ICD-10-CM D86.82

ICD-10-CM code D86.82 represents Multiple cranial nerve palsies in sarcoidosis. This is a billable/specific code in the Blood and Blood-forming Organs chapter (block D86). The 2026 edition of ICD-10-CM D86.82 became effective on October 1, 2025.

Coding Tips for D86.82

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

HCC capture: document with MEAT each year

D86.82 is a CMS-HCC v28 risk-adjustment code (category 75). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.

Medicare Advantage HCC Impact

CMS-HCC v28 (current)
Category 75
ESRD-HCC
Category 75
RxHCC (Part D)
Category 75

Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.

Medicare LCD Coverage for D86.82

Local Coverage Determinations (LCDs) from CMS MACs that list D86.82 as a covered diagnosis.

348 LCDs

Showing top 10 of 348 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94660 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94726 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94664 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94618 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94772 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94642 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT G0238 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94004 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94668 →
CMS LCD: Billing and Coding: Respiratory Care
Article ID: 57224, Effective: 2026-01-01 00:00:00, 901 covered, 0 non-covered
CPT 94680 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing D86.82.

23 policies

1 Cigna

Vitamin D Testing - (0526) ---- future effective policy
Policy ID: MM_0526

5 Medicare

Billing and Coding: Infliximab and biosimilars
Policy ID: ART-52423
Billing and Coding: Cardiac Catheterization and Coronary Angiography
Policy ID: ART-52850
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-54095
Billing and Coding: Assays for Vitamins and Metabolic Function
Policy ID: ART-56416
Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Policy ID: ART-56423

CPT Codes Commonly Billed with D86.82

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

48 linkages
  • 92235 CMS LCD: Billing and Coding: Ophthalmic Angiography (Fluorescein and Indocyanine Green) CMS LCD
  • 92240 CMS LCD: Billing and Coding: Ophthalmic Angiography (Fluorescein and Indocyanine Green) CMS LCD
  • 94618 CMS LCD: Billing and Coding: Pulmonary Stress Testing CMS LCD
  • 94619 CMS LCD: Billing and Coding: Pulmonary Stress Testing CMS LCD
  • 94617 CMS LCD: Billing and Coding: Pulmonary Stress Testing CMS LCD
  • 92242 CMS LCD: Billing and Coding: Ophthalmic Angiography (Fluorescein and Indocyanine Green) CMS LCD
  • 0107T CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD
  • 0108T CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD
  • 0106T CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD
  • 0110T CMS LCD: Billing and Coding: Nerve Conduction Studies and Electromyography CMS LCD

Convert D86.82 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
D86.82 135 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 D86.82, Billing FAQ

Is ICD-10 code D86.82 billable? +

Yes, D86.82 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Does D86.82 affect Medicare Advantage HCC risk adjustment? +

Yes. D86.82 maps to CMS-HCC v28 category 75. Capture this diagnosis annually for accurate Medicare Advantage risk score.

What CPT codes are commonly billed with D86.82? +

Procedures frequently paired with D86.82 include: 92235, 92240, 94618, 94619, 94617.

What ICD-9 codes does D86.82 map to? +

Per CMS GEMs, D86.82 maps to ICD-9 codes: 135. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

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