Abnormal findings in specimens from male genital organs
ICD-10 R86 is a billable code used to indicate a diagnosis of abnormal findings in specimens from male genital organs.
The ICD-10 code R86 is used to classify abnormal findings in specimens obtained from male genital organs, which may include abnormal results from biopsies, cytological examinations, or other laboratory analyses. These findings can indicate a variety of conditions, including infections, neoplasms, or inflammatory processes. Symptoms may include abnormal discharge, pain, or lesions in the genital area. Common causes of abnormal findings can range from sexually transmitted infections (STIs) to benign or malignant tumors. The diagnostic approach typically involves a thorough clinical history, physical examination, and appropriate laboratory tests, including urinalysis, cultures, and imaging studies. Accurate coding requires careful documentation of the findings and the context in which they were obtained, ensuring that the specific abnormality is clearly described to support the use of this code.
Detailed clinical notes regarding the patient's history, presenting symptoms, and the specific findings from laboratory tests.
Patients presenting with abnormal urinalysis results or abnormal prostate-specific antigen (PSA) levels.
Ensure that all relevant laboratory results are included in the documentation to support the diagnosis.
Acute care documentation must include immediate findings, patient history, and any interventions performed.
Patients with acute scrotal pain or suspected testicular torsion requiring urgent evaluation.
Rapid assessment and documentation are critical; ensure that all findings are clearly noted to support coding.
Used when cytological analysis of specimens shows abnormal findings.
Document the type of specimen and findings clearly.
Ensure that the procedure is linked to the diagnosis of abnormal findings.
Use R86 when the findings are abnormal but do not fit into a more specific diagnosis or when the specific abnormality is not yet determined.
