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ICD-10 Guide
ICD-10 CodesR86.0

R86.0

Abnormal level of enzymes in specimens from male genital organs

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R86.0 is a billable code used to indicate a diagnosis of abnormal level of enzymes in specimens from male genital organs.

Key Diagnostic Point:

R86.0 refers to abnormal enzyme levels detected in specimens obtained from male genital organs, which may indicate underlying pathological conditions. Enzymes such as alkaline phosphatase, lactate dehydrogenase, and others can be elevated due to various factors, including infections, tumors, or inflammatory processes. The clinical significance of these findings often requires correlation with patient symptoms, history, and additional diagnostic tests. For instance, elevated enzyme levels may suggest conditions like prostatitis, testicular tumors, or other malignancies. Accurate interpretation of these enzyme levels is crucial, as they can guide further diagnostic workup and management strategies. Clinicians must consider the patient's overall clinical picture, including any presenting symptoms such as pain, swelling, or systemic signs of infection, to determine the appropriate course of action.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying conditions
  • Need for correlation with clinical findings
  • Variability in enzyme levels based on individual patient factors
  • Potential overlap with other diagnostic codes

Audit Risk Factors

  • Inadequate documentation of clinical correlation
  • Failure to specify the type of enzyme abnormality
  • Misuse of the code in the absence of symptoms
  • Incorrect linkage to unrelated diagnoses

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed patient history, physical examination findings, and correlation of enzyme levels with clinical symptoms.

Common Clinical Scenarios

Evaluation of patients presenting with pelvic pain, urinary symptoms, or abnormal findings on imaging studies.

Billing Considerations

Ensure that all relevant laboratory results are documented and that the clinical significance of enzyme levels is clearly articulated.

Emergency Medicine

Documentation Requirements

Acute care notes must include immediate clinical findings, laboratory results, and any interventions performed.

Common Clinical Scenarios

Patients presenting with acute scrotal pain or swelling, requiring rapid assessment of potential testicular torsion or infection.

Billing Considerations

Document the urgency of the situation and any immediate treatments provided, as well as follow-up plans.

Coding Guidelines

Inclusion Criteria

Use R86.0 When
  • Follow official ICD
  • CM coding guidelines, ensuring that the code is used only when enzyme abnormalities are documented and clinically relevant
  • Always link to the primary diagnosis when applicable

Exclusion Criteria

Do NOT use R86.0 When
No specific exclusions found.

Related CPT Codes

84153CPT Code

Lactate dehydrogenase test

Clinical Scenario

Used to evaluate enzyme levels in suspected malignancies or tissue damage.

Documentation Requirements

Document the reason for the test and correlate with clinical findings.

Specialty Considerations

Urologists may frequently order this test in conjunction with imaging studies.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of enzyme abnormalities, improving the accuracy of diagnoses and treatment plans. R86.0 provides a clear framework for documenting abnormal findings related to male genital organs.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of enzyme abnormalities, improving the accuracy of diagnoses and treatment plans. R86.0 provides a clear framework for documenting abnormal findings related to male genital organs.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of enzyme abnormalities, improving the accuracy of diagnoses and treatment plans. R86.0 provides a clear framework for documenting abnormal findings related to male genital organs.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common causes of abnormal enzyme levels in male genital specimens?

Common causes include infections such as prostatitis, malignancies like testicular cancer, and inflammatory conditions. Each case requires careful evaluation of clinical symptoms and laboratory findings.