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ICD-10 Guide
ICD-10 CodesR86.7

R86.7

Abnormal histological findings in specimens from male genital organs

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

Code Description

ICD-10 R86.7 is a billable code used to indicate a diagnosis of abnormal histological findings in specimens from male genital organs.

Key Diagnostic Point:

R86.7 is used to classify abnormal histological findings in specimens obtained from male genital organs, which may include the prostate, testes, penis, and scrotum. These findings can indicate a variety of conditions, including neoplasms, infections, inflammatory processes, or degenerative changes. Histological examination often reveals cellular atypia, dysplasia, or malignancy, necessitating further diagnostic evaluation and management. Common symptoms associated with these findings may include pain, swelling, or abnormal discharge, while laboratory findings may include elevated tumor markers or abnormal imaging results. Accurate coding requires a thorough understanding of the clinical context and the specific histological findings, as they can significantly influence patient management and treatment decisions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying conditions
  • Need for precise documentation of histological findings
  • Differentiation from other similar codes
  • Potential for overlapping symptoms with other diagnoses

Audit Risk Factors

  • Inadequate documentation of histological findings
  • Misinterpretation of abnormal findings
  • Failure to link findings to clinical symptoms
  • Inconsistent coding practices across specialties

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed descriptions of histological findings, clinical symptoms, and any relevant imaging studies.

Common Clinical Scenarios

Patients presenting with abnormal prostate biopsies or testicular masses.

Billing Considerations

Ensure that all relevant clinical information is documented to support the diagnosis and any subsequent treatment plans.

Emergency Medicine

Documentation Requirements

Acute care notes must include immediate findings and any interventions performed.

Common Clinical Scenarios

Patients presenting with acute scrotal pain or swelling requiring urgent evaluation.

Billing Considerations

Document the acute nature of symptoms and any immediate diagnostic tests performed.

Coding Guidelines

Inclusion Criteria

Use R86.7 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when there is clear documentation of abnormal histological findings from male genital specimens
  • Ensure that the findings are not classified elsewhere

Exclusion Criteria

Do NOT use R86.7 When
No specific exclusions found.

Related CPT Codes

88305CPT Code

Level IV surgical pathology, gross and microscopic examination

Clinical Scenario

Used when a biopsy of male genital organs is performed and histological findings are evaluated.

Documentation Requirements

Pathology report must detail the findings and correlate with clinical symptoms.

Specialty Considerations

Urology and pathology specialties should ensure clear communication regarding findings.

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 granularity of data for research and treatment outcomes. R86.7 provides a distinct code for abnormal histological findings, enhancing clarity in patient records.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of abnormal findings, improving the granularity of data for research and treatment outcomes. R86.7 provides a distinct code for abnormal histological findings, enhancing clarity in patient records.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of abnormal findings, improving the granularity of data for research and treatment outcomes. R86.7 provides a distinct code for abnormal histological findings, enhancing clarity in patient records.

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 conditions can R86.7 be used for?

R86.7 can be used for a variety of conditions that result in abnormal histological findings in male genital organs, including infections, inflammatory conditions, and neoplasms.