ICDcodes.org
FY2027

R86.9 — Unspecified abnormal finding in specimens from male genital organs

BillableUnspecified

Is R86.9 billable?

Yes, but R86.9 is an unspecified code. R86.9 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, R86.9 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting R86.9 — the more specific alternatives are listed below.

R86.9 at a glance

CodeR86.9
DescriptionUnspecified abnormal finding in specimens from male genital organs
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does R86.9 group to?

R86.9 sits in MDC 12 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 729Other Male Reproductive System Diagnoses with CC/MCCmedical
  • 730Other Male Reproductive System Diagnoses without CC/MCCmedical

How is R86.9 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to R86.9. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Abnormal, abnormality, abnormalities › specimen › male genital organs

Excludes1 — never code together — inherited from R83-R89

The conditions below can never be reported together with R86.9 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • abnormal findings on antenatal screening of mother (O28.-)
  • diagnostic abnormal findings classified elsewhere - see Alphabetical Index

Excludes1 — never code together — inherited from R86

The conditions below can never be reported together with R86.9 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

Excludes2 — not included here — inherited from Chapter 18

The conditions below are not part of R86.9, but a patient may have both at the same time. When documentation supports it, R86.9 and the excluded code may both be reported.

  • abnormal findings on antenatal screening of mother (O28.-)
  • certain conditions originating in the perinatal period (P04-P96)
  • signs and symptoms classified in the body system chapters
  • signs and symptoms of breast (N63, N64.5)

Excludes2 — not included here — inherited from R83-R89

The conditions below are not part of R86.9, but a patient may have both at the same time. When documentation supports it, R86.9 and the excluded code may both be reported.

  • abnormal findings on examination of blood, without diagnosis (R70-R79)
  • abnormal findings on examination of urine, without diagnosis (R80-R82)
  • abnormal tumor markers (R97.-)

How long has R86.9 existed?

R86.9 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

What other codes are in the R86 family? (9)