R86 vs R97
R86 (Abnormal findings in specimens from male genital organs) compared with R97 (Abnormal tumor markers), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. R86 carries an Excludes2 note covering R97: “abnormal tumor markers (R97.-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| R86Abnormal findings in specimens from male genital organs | R97Abnormal tumor markers | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) |
| Definition | Abnormal findings in specimens from male genital organs is a non-billable ICD-10-CM category code (R86). | Abnormal tumor markers is a non-billable ICD-10-CM category code (R97). |
| Includes | abnormal findings in prostatic secretions abnormal findings in semen, seminal fluid abnormal spermatozoa | Elevated tumor associated antigens [TAA] Elevated tumor specific antigens [TSA] |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources