ICD-10 Diagnosis Code R86.1

Abn lev hormones in specimens from male genital organs

Diagnosis Code R86.1

ICD-10: R86.1
Short Description: Abn lev hormones in specimens from male genital organs
Long Description: Abnormal level of hormones in specimens from male genital organs
This is the 2019 version of the ICD-10-CM diagnosis code R86.1

Valid for Submission
The code R86.1 is valid for submission for HIPAA-covered transactions.

Code Classification
  • Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00–R99)
    • Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis (R83-R89)
      • Abnormal findings in specimens from male genital organs (R86)


Version 2019 Billable Code Diagnoses For Males Only

Information for Medical Professionals

According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.


Code Edits
The following edits are applicable to this code:
Diagnoses for males only - Diagnoses for males only.

Diagnostic Related Groups
The diagnosis code R86.1 is grouped in the following Diagnostic Related Group(s) (MS-DRG V35.0)

  • 729 - OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC
  • 730 - OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC

Convert to ICD-9
  • 792.2 - Abn findings-semen (Approximate Flag)

Synonyms
  • Abnormal hormone level in specimen from male genital organ

Index to Diseases and Injuries
References found for the code R86.1 in the Index to Diseases and Injuries:


ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

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