October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

R86 Abnormal findings in specimens from male genital organs

All 10 codes in the R86 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

10

Can lead a claim

0

Cannot lead a claim

10

What CMS assigns to R86

None of the 10 codes is assigned a clinical group. None of the 10 is assigned a comorbidity subgroup. None can lead a claim.

Every code in R86

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
R86.0Abnormal level of enzymes in specimens from male genital organsCMS: Abn lev enzymes in specimens from male genital organsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R86.1Abnormal level of hormones in specimens from male genital organsCMS: Abn lev hormones in specimens from male genital organsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R86.2Abnormal level of other drugs, medicaments and biological substances in specimens from male genital organsCMS: Abn lev drug/meds/biol subst in specmn from male gntl organsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R86.3Abnormal level of substances chiefly nonmedicinal as to source in specimens from male genital organsCMS: Abn lev substnc nonmed source in specmn from male gntl orgCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R86.4Abnormal immunological findings in specimens from male genital organsCMS: Abn immunolog findings in specmn from male genital organsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R86.5Abnormal microbiological findings in specimens from male genital organsCMS: Abn microbiolog findings in specmn from male genital organsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R86.6Abnormal cytological findings in specimens from male genital organsCMS: Abnormal cytolog findings in specmn from male genital organsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R86.7Abnormal histological findings in specimens from male genital organsCMS: Abn histolog findings in specmn from male genital organsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R86.8Other abnormal findings in specimens from male genital organsCMS: Oth abnormal findings in specimens from male genital organsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
R86.9Unspecified abnormal finding in specimens from male genital organsCMS: Unsp abnormal finding in specimens from male genital organsCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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