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v1.0.0
ICD-10 Guide
ICD-10 CodesN46.0

N46.0

Billable

Azoospermia

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/18/2025

Code Description

ICD-10 N46.0 is a billable code used to indicate a diagnosis of azoospermia.

Key Diagnostic Point:

Azoospermia is defined as the absence of sperm in the ejaculate, which can lead to male infertility. It is classified into two main types: obstructive azoospermia, where sperm production is normal but there is a blockage preventing sperm from being present in the ejaculate, and non-obstructive azoospermia, where there is a failure in sperm production due to testicular dysfunction. Conditions such as hydrocele, orchitis, and other testicular disorders can contribute to azoospermia by affecting the testicular environment or sperm production. Male infertility is a significant concern, as it can impact family planning and emotional well-being. Diagnosis typically involves semen analysis, hormonal evaluations, and possibly genetic testing. Treatment options may include surgical interventions, assisted reproductive technologies, or hormonal therapies, depending on the underlying cause. Understanding the complexities of azoospermia is crucial for effective management and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between obstructive and non-obstructive azoospermia
  • Need for comprehensive documentation of diagnostic tests
  • Potential for co-existing conditions affecting fertility
  • Variability in treatment approaches based on underlying causes

Audit Risk Factors

  • Inadequate documentation of diagnostic tests performed
  • Failure to specify the type of azoospermia
  • Lack of clarity on treatment plans and outcomes
  • Misclassification of related conditions

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed documentation of semen analysis results, hormonal evaluations, and any imaging studies.

Common Clinical Scenarios

Evaluation of male infertility, management of testicular disorders, and post-surgical follow-ups.

Billing Considerations

Ensure clear documentation of the type of azoospermia and any associated conditions.

Reproductive Endocrinology

Documentation Requirements

Comprehensive hormonal profiles, genetic testing results, and treatment plans.

Common Clinical Scenarios

Assisted reproductive technology consultations and management of complex infertility cases.

Billing Considerations

Document all interventions and patient responses to treatment for accurate coding.

Coding Guidelines

Inclusion Criteria

Use N46.0 When
  • Follow official ICD
  • 10 coding guidelines, ensuring accurate documentation of the diagnosis and any associated conditions
  • Include specific details about the type of azoospermia and any relevant treatments

Exclusion Criteria

Do NOT use N46.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

89260CPT Code

Semen analysis, sperm count

Clinical Scenario

Used to confirm diagnosis of azoospermia.

Documentation Requirements

Document the date of the analysis, results, and any follow-up actions.

Specialty Considerations

Urologists and reproductive endocrinologists should ensure accurate reporting of results.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of azoospermia, enabling better tracking of male infertility issues and facilitating targeted treatment approaches.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of azoospermia, enabling better tracking of male infertility issues and facilitating targeted treatment approaches.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of azoospermia, enabling better tracking of male infertility issues and facilitating targeted treatment approaches.

Resources

Clinical References

  • •
    American Urological Association Guidelines

Coding & Billing References

  • •
    American Urological Association Guidelines

Frequently Asked Questions

What is the difference between obstructive and non-obstructive azoospermia?

Obstructive azoospermia occurs when sperm production is normal but there is a blockage preventing sperm from entering the ejaculate. Non-obstructive azoospermia is due to a failure in sperm production, often related to testicular dysfunction.