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

ICD-10 D86.85

Billable / Specific

Sarcoid myocarditis

D86
Block
0
Synonyms
358
LCDs
31
Payer Policies
75
Linked CPTs

About ICD-10-CM D86.85

ICD-10-CM code D86.85 represents Sarcoid myocarditis. This is a billable/specific code in the Blood and Blood-forming Organs chapter (block D86). The 2026 edition of ICD-10-CM D86.85 became effective on October 1, 2025.

Medicare LCD Coverage for D86.85

Local Coverage Determinations (LCDs) from CMS MACs that list D86.85 as a covered diagnosis.

358 LCDs

Showing top 10 of 358 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Magnesium
Article ID: 59186, Effective: 2025-10-01 00:00:00, 4358 covered, 0 non-covered
CPT 83735 →
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 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing D86.85.

31 policies

1 Aetna

Positron Emission Tomography (PET) - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0071

5 Cigna

Ambulatory External and Implantable Electrocardiographic Monitoring - (0547)
Policy ID: MM_0547
Flow Cytometry - (0538)
Policy ID: MM_0538
Transthoracic Echocardiography in Adults - (0510)
Policy ID: MM_0510
Transthoracic Echocardiography in Children - (0523)
Policy ID: MM_0523
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: Assays for Vitamins and Metabolic Function
Policy ID: ART-56416
Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Policy ID: ART-56423
Billing and Coding: Infliximab
Policy ID: ART-56432

CPT Codes Commonly Billed with D86.85

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

75 linkages
  • 93319 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93307 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93351 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93355 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • J1250 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93304 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93352 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • J0280 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93318 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93308 CMS LCD: Billing and Coding: Echocardiography CMS LCD

Convert D86.85 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
D86.85 135 10000

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

ICD-10 D86.85, Billing FAQ

Is ICD-10 code D86.85 billable? +

Yes, D86.85 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with D86.85? +

Procedures frequently paired with D86.85 include: 93319, 93307, 93351, 93355, J1250.

What ICD-9 codes does D86.85 map to? +

Per CMS GEMs, D86.85 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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