R86.8 ICD-10-CM Code: Other abnormal findings in specimens from male genital organs
R86.8 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · HCC Buddy coding tools
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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)
R86.8
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceOther abnormal findings in specimens from male genital organs
Laboratory test results from male reproductive organ samples show other types of abnormal findings not classified elsewhere.
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
Inclusion Terms
Official- Abnormal chromosomal findings in specimens from male genital organs
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for R86.8 in this effective period.
Related Child Codes
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
OfficialICD-10-CM does not list Code First sequencing instructions for R86.8 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for R86.8 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for R86.8 in this effective period.
Buddy Documentation Tip
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 R86.8 an HCC code?
No. R86.8 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
- Code
- R86.8
- Description
- Other abnormal findings in specimens from male genital organs
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF
- —
- Billable
- Yes
- Payment year
- 2026
Coder workflow notes
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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
R86.8 is the ICD-10-CM diagnosis code for other abnormal findings in specimens from male genital organs. Laboratory test results from male reproductive organ samples show other types of abnormal findings not classified elsewhere. R86.8 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).
R86.8 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.
Use as a catch-all code for abnormal findings that don't fit into the more specific R86 subcategories.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for R86.8 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use as a catch-all code for abnormal findings that don't fit into the more specific R86 subcategories
- •Always attempt to use a more specific code if the type of abnormality is documented