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ICD-10 Guide
ICD-10 CodesR86.8

R86.8

Other abnormal findings in specimens from male genital organs

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

Code Description

ICD-10 R86.8 is a billable code used to indicate a diagnosis of other abnormal findings in specimens from male genital organs.

Key Diagnostic Point:

The ICD-10 code R86.8 is used to classify abnormal findings in specimens obtained from male genital organs that do not fall under more specific categories. This may include atypical cellular findings in biopsies, abnormal results from semen analysis, or unusual findings in urine tests related to male reproductive health. Such findings can indicate a range of conditions, from benign abnormalities to potential malignancies. Common causes of abnormal findings may include infections, inflammatory conditions, neoplasms, or hormonal imbalances. The diagnostic approach typically involves a thorough clinical history, physical examination, and targeted laboratory tests, including imaging studies when necessary. Accurate coding requires careful documentation of the findings and the clinical context in which they were discovered, ensuring that the underlying cause is appropriately identified and coded if applicable.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Inadequate documentation of clinical findings
  • Failure to specify the type of abnormality
  • Misclassification of findings as normal
  • Lack of correlation between diagnosis and procedure codes

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed clinical notes describing the findings, patient history, and any relevant laboratory results.

Common Clinical Scenarios

Routine check-ups revealing abnormal lab results, follow-up on previous findings.

Billing Considerations

Ensure that all abnormal findings are clearly linked to the patient's symptoms and history.

Emergency Medicine

Documentation Requirements

Acute care documentation must include immediate findings, patient presentation, and any interventions performed.

Common Clinical Scenarios

Patients presenting with acute scrotal pain or abnormal urinalysis results.

Billing Considerations

Rapid assessment and documentation are crucial; ensure that all findings are recorded promptly.

Coding Guidelines

Inclusion Criteria

Use R86.8 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when the findings are not classified elsewhere
  • Document the clinical context and any relevant tests performed

Exclusion Criteria

Do NOT use R86.8 When
No specific exclusions found.

Related CPT Codes

88305CPT Code

Pathology examination of tissue

Clinical Scenario

Used when a biopsy is performed on a male genital organ and findings are coded as R86.8.

Documentation Requirements

Pathology report must be included with the diagnosis.

Specialty Considerations

Ensure that the pathology report correlates with the clinical 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 collection and enhancing the ability to track and manage male reproductive health conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of abnormal findings, improving the granularity of data collection and enhancing the ability to track and manage male reproductive health conditions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of abnormal findings, improving the granularity of data collection and enhancing the ability to track and manage male reproductive health conditions.

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 findings are classified under R86.8?

R86.8 includes a variety of abnormal findings from male genital organ specimens that do not fit into more specific categories, such as atypical cells in biopsies or abnormal semen analysis results.