ICD-10 R86.2
Billable / SpecificAbnormal level of other drugs, medicaments and biological substances in specimens from male genital organs
About ICD-10-CM R86.2
ICD-10-CM code R86.2 represents Abnormal level of other drugs, medicaments and biological substances in specimens from male genital organs. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R86). The 2026 edition of ICD-10-CM R86.2 became effective on October 1, 2025.
Medicare LCD Coverage for R86.2
Local Coverage Determinations (LCDs) from CMS MACs that list R86.2 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing R86.2.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but R86.2 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with R86.2
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert R86.2 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| R86.2 | 7922 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To R86.2
Other codes in section R83-R89 (Abnormal findings on examination of other body fluids, substances and tissues, without diagnosis).
ICD-10 R86.2, Billing FAQ
Is ICD-10 code R86.2 billable? +
Yes, R86.2 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does R86.2 map to? +
Per CMS GEMs, R86.2 maps to ICD-9 codes: 7922. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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