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ICD-10 Guide
ICD-10 CodesR86.6

R86.6

Abnormal cytological findings in specimens from male genital organs

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

Code Description

ICD-10 R86.6 is a billable code used to indicate a diagnosis of abnormal cytological findings in specimens from male genital organs.

Key Diagnostic Point:

Abnormal cytological findings in specimens from male genital organs refer to atypical cellular changes identified in samples obtained from male reproductive tissues, such as the prostate, testes, or penile tissues. These findings can arise from various conditions, including infections, neoplasms, or inflammatory processes. Common symptoms associated with these findings may include abnormal discharge, pain, or changes in urinary habits. Laboratory tests, such as cytology or histopathology, are essential for diagnosing the underlying cause of the abnormal findings. The clinical context is crucial, as these findings may indicate benign conditions like prostatitis or more serious issues such as malignancies. Accurate interpretation of cytological results is vital for determining the appropriate management and follow-up for the patient.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying conditions
  • Need for correlation with clinical findings
  • Interpretation of cytological results can be subjective
  • Documentation must specify the type of specimen and findings

Audit Risk Factors

  • Inadequate documentation of the clinical context
  • Failure to specify the type of specimen collected
  • Misinterpretation of cytological findings
  • Inconsistent coding with the diagnosis provided

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Documentation should include the patient's symptoms, the type of specimen collected, and the results of cytological analysis.

Common Clinical Scenarios

Patients presenting with urinary symptoms or abnormal findings on routine screening tests.

Billing Considerations

Ensure that the clinical rationale for the cytological examination is clearly documented.

Emergency Medicine

Documentation Requirements

Acute care documentation must detail the presenting symptoms, any immediate interventions, and the results of cytological tests.

Common Clinical Scenarios

Patients with acute scrotal pain or suspected testicular torsion requiring urgent evaluation.

Billing Considerations

Rapid assessment and documentation are critical in emergency settings to ensure appropriate coding.

Coding Guidelines

Inclusion Criteria

Use R86.6 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when there is clear documentation of abnormal cytological findings from male genital organs
  • The findings must not be classified elsewhere

Exclusion Criteria

Do NOT use R86.6 When
No specific exclusions found.

Related CPT Codes

88104CPT Code

Cytopathology, cervical or vaginal, scraping

Clinical Scenario

Used when cytological analysis is performed on male genital specimens.

Documentation Requirements

Document the type of specimen and findings clearly.

Specialty Considerations

Urologists may frequently use this code for cytological 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 granularity of data for research and treatment outcomes.

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.

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.

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 specimens can be coded with R86.6?

R86.6 can be used for cytological findings from any male genital organ, including prostate, testes, and penile tissues, as long as the findings are abnormal.