Abnormal microbiological findings in specimens from male genital organs
ICD-10 R86.5 is a billable code used to indicate a diagnosis of abnormal microbiological findings in specimens from male genital organs.
R86.5 is used to classify abnormal microbiological findings in specimens obtained from male genital organs, which may include urine, semen, or tissue samples. These findings can indicate the presence of infections, inflammatory conditions, or other pathological processes. Common symptoms associated with these findings may include dysuria, penile discharge, or scrotal pain. Laboratory tests may reveal the presence of bacteria, fungi, or viruses that are not typically found in healthy specimens. The clinical context is crucial, as abnormal findings can lead to further diagnostic investigations to determine the underlying cause, such as sexually transmitted infections (STIs), prostatitis, or other urogenital disorders. Accurate coding requires a thorough understanding of the clinical scenario and the specific findings reported in laboratory results.
Detailed documentation of patient history, symptoms, and laboratory findings is essential. Include specific results from microbiological tests.
Patients presenting with urinary symptoms, pelvic pain, or abnormal discharge.
Consider the patient's sexual history and risk factors for STIs when coding.
Acute care documentation must include immediate findings and any interventions performed.
Patients with acute scrotal pain or severe dysuria requiring urgent evaluation.
Rapid assessment and documentation of findings are critical in emergency settings.
Used when a culture is performed to identify abnormal findings.
Document the source of the specimen and the findings.
Ensure that the procedure is linked to the diagnosis of abnormal findings.
R86.5 includes any abnormal microbiological findings from male genital specimens, such as bacteria, fungi, or viruses that indicate an infection or other pathological condition.
