Is R86.4 a billable ICD-10-CM code?

Yes. R86.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does R86.4 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 R86.4?

R86.4 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above R86.4 (R86) and apply to it just the same.

R86.4

R86.4 — Abnormal immunological findings in specimens from male genital organs

Billable / specific codeICD-10-CM

R86.4 is a billable, specific ICD-10-CM code for abnormal immunological findings in specimens from male genital organs. It is valid for submission on a claim.

Excludes1 inherited from the categories above R86.4

These are not written on R86.4, but they bind it: a note on a category applies to every code beneath it. Billing R86.4 with anything listed here is a denial.

Written on R86 — Abnormal findings in specimens from male genital organs

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

Risk adjustment

R86.4 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.

How R86.4 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to R86.4.

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

Code history

R86.4 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share R86. If R86.4 is not quite right, the correct code is usually one of these.

Questions about R86.4

Is R86.4 a billable ICD-10-CM code?: Yes. R86.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does R86.4 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 R86.4?: R86.4 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above R86.4 (R86) and apply to it just the same.