Skip to content

R86.2 ICD-10-CM Code: Abnormal level of other drugs, medicaments and biological substances in specimens from male genital organs

ICD-10-CM Code View

HCC Buddy Code Card

Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

FY 2026 Apr update / 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)

R86.2

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Abnormal level of other drugs, medicaments and biological substances in specimens from male genital organs

Laboratory test results show abnormal levels of drugs or medications in samples taken from male reproductive organs.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
R86Abnormal findings in specimens from male genital organs
R86.2Abnormal level of other drugs, medicaments and biological substances in specimens from male genital organs

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for R86.2 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for R86.2 in this effective period.

Related Child Codes

Official
R86.0Abnormal level of enzymes in specimens from male genital organs
R86.1Abnormal level of hormones in specimens from male genital organs
R86.3Abnormal level of substances chiefly nonmedicinal as to source in specimens from male genital organs
R86.4Abnormal immunological findings in specimens from male genital organs
R86.5Abnormal microbiological findings in specimens from male genital organs

Includes

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

Excludes 1

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

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for R86.2 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for R86.2 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for R86.2 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Document which specific drug or medication was found in abnormal amounts in the specimen
This may indicate drug accumulation or unexpected drug presence in genital tissue

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is R86.2 an HCC code?

No. R86.2 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
R86.2
Description
Abnormal level of other drugs, medicaments and biological substances in specimens from male genital organs
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
Yes
Payment year
2026

Coder workflow notes

Get the V28 RAF + MEAT cheat sheet

One printable page: confirm a code's V28 HCC status, its RAF weight, and the MEAT your note needs to make it stick. Free, no card.

Free PDF. No card. Unsubscribe anytime.

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

R86.2 is the ICD-10-CM diagnosis code for abnormal level of other drugs, medicaments and biological substances in specimens from male genital organs. Laboratory test results show abnormal levels of drugs or medications in samples taken from male reproductive organs. R86.2 sits in the ICD-10-CM chapter for symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (r00-r99), within the section covering abnormal findings on examination of other body fluids, substances and tissues, without diagnosis (r83-r89).

R86.2 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Document which specific drug or medication was found in abnormal amounts in the specimen.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for R86.2 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Document which specific drug or medication was found in abnormal amounts in the specimen
  • This may indicate drug accumulation or unexpected drug presence in genital tissue

Child Codes

Code Hierarchy

Work R86.2 in HCC Buddy

Open R86.2 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 7 days to try everything, no card required.