ICD-10-CM Code R86.7

Abnormal histological findings in specimens from male genital organs

Version 2020 Billable Code No Valid Principal Dx Diagnoses For Males Only

Valid for Submission

R86.7 is a billable code used to specify a medical diagnosis of abnormal histological findings in specimens from male genital organs. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code R86.7 might also be used to specify conditions or terms like abnormal histological finding in specimen from male genital organ, abnormal histology findings, abnormal spermatogenesis, prostate surgical margin, involved by tumor, prostate, apical surgical margin, involved by tumor, prostate, deep radial surgical margin, involved by tumor, etc

The code R86.7 is applicable to male patients only. It is clinically and virtually impossible to use this code on a non-male patient.

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.

ICD-10:R86.7
Short Description:Abn histolog findings in specmn from male genital organs
Long Description:Abnormal histological findings in specimens from male genital organs

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code R86.7 are found in the index:


Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Diagnoses for males only - Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, this code applies to MALES only .

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Abnormal histological finding in specimen from male genital organ
  • Abnormal histology findings
  • Abnormal spermatogenesis
  • Prostate surgical margin, involved by tumor
  • Prostate, apical surgical margin, involved by tumor
  • Prostate, deep radial surgical margin, involved by tumor
  • Prostate, seminal vesicle base surgical margin, involved by tumor
  • Prostate, urethral surgical margin, involved by tumor
  • Sperm morphology - finding
  • Surgical spermatic cord margin involved by tumor
  • Teratozoospermia
  • Testis surgical margin, involved by tumor

Diagnostic Related Groups

The ICD-10 code R86.7 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

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

Convert R86.7 to ICD-9

  • 792.2 - Abn findings-semen (Approximate Flag)

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)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020