Is R86 a billable ICD-10-CM code?

No. R86 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does R86 sit in the tabular list?

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis (R83-R89).

What cannot be coded together with R86?

R86 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

R86

R86 — Abnormal findings in specimens from male genital organs

Non-billable headerICD-10-CM

R86 is a non-billable header ICD-10-CM code for abnormal findings in specimens from male genital organs. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

azoospermia (N46.0-)
oligospermia (N46.1-)

Includes

Conditions this code covers.

abnormal findings in prostatic secretions
abnormal findings in semen, seminal fluid
abnormal spermatozoa

Risk adjustment

R86 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead R86

10 child codes. Green means billable.

Questions about R86

Is R86 a billable ICD-10-CM code?: No. R86 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does R86 sit in the tabular list?: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis (R83-R89).
What cannot be coded together with R86?: R86 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.