ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesR86.3

R86.3

Abnormal level of substances chiefly nonmedicinal as to source in specimens from male genital organs

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

Code Description

ICD-10 R86.3 is a billable code used to indicate a diagnosis of abnormal level of substances chiefly nonmedicinal as to source in specimens from male genital organs.

Key Diagnostic Point:

The ICD-10 code R86.3 is used to classify abnormal laboratory findings related to nonmedicinal substances found in specimens obtained from male genital organs. This may include abnormal levels of substances such as hormones, proteins, or metabolites that are not derived from medications. Clinical contexts for this code can include findings from semen analysis, testicular biopsies, or other laboratory tests that reveal unusual concentrations of substances that could indicate underlying pathologies such as hormonal imbalances, infections, or neoplastic processes. The identification of these abnormal levels is crucial for diagnosing conditions such as infertility, endocrine disorders, or malignancies. Proper documentation of the laboratory findings, the clinical context, and any associated symptoms is essential for accurate coding and subsequent treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of nonmedicinal substances that can be abnormal
  • Need for precise laboratory results and interpretation
  • Potential overlap with other codes for similar findings
  • Documentation requirements for clinical context

Audit Risk Factors

  • Inadequate documentation of laboratory findings
  • Failure to specify the source of the abnormality
  • Misclassification of findings as medicinal rather than nonmedicinal
  • Lack of correlation between symptoms and laboratory results

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed lab results, clinical history, and correlation with symptoms.

Common Clinical Scenarios

Evaluation of male infertility, hormonal evaluations.

Billing Considerations

Ensure that all relevant lab tests are documented and linked to the diagnosis.

Emergency Medicine

Documentation Requirements

Immediate lab results and clinical findings upon presentation.

Common Clinical Scenarios

Acute scrotal pain with abnormal lab findings.

Billing Considerations

Rapid assessment and documentation of findings are critical in emergency settings.

Coding Guidelines

Inclusion Criteria

Use R86.3 When
  • Follow the official ICD
  • CM guidelines for coding and reporting, ensuring that the code is used only when the abnormality is clearly documented and not attributable to medicinal sources

Exclusion Criteria

Do NOT use R86.3 When
No specific exclusions found.

Related CPT Codes

84146CPT Code

Testosterone, total

Clinical Scenario

Used when evaluating hormonal levels in male patients.

Documentation Requirements

Document the reason for testing and correlate with clinical findings.

Specialty Considerations

Endocrinology may require additional documentation for hormonal evaluations.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of abnormal findings, improving the accuracy of diagnoses and treatment plans. R86.3 provides a distinct classification for nonmedicinal abnormalities, enhancing clinical understanding.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of abnormal findings, improving the accuracy of diagnoses and treatment plans. R86.3 provides a distinct classification for nonmedicinal abnormalities, enhancing clinical understanding.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of abnormal findings, improving the accuracy of diagnoses and treatment plans. R86.3 provides a distinct classification for nonmedicinal abnormalities, enhancing clinical understanding.

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 types of lab findings would warrant the use of R86.3?

R86.3 should be used for abnormal levels of substances in specimens from male genital organs that are not related to medicinal sources, such as elevated hormones or proteins indicative of underlying conditions.