Organic azoospermia
ICD-10 N46.01 is a billable code used to indicate a diagnosis of organic azoospermia.
Organic azoospermia is a condition characterized by the complete absence of sperm in the ejaculate due to intrinsic testicular dysfunction. This condition can arise from various underlying causes, including genetic abnormalities, hormonal imbalances, or damage to the testicular tissue. Unlike obstructive azoospermia, where sperm production is normal but obstructed from reaching the ejaculate, organic azoospermia indicates a failure in sperm production itself. Common causes include Klinefelter syndrome, Y chromosome microdeletions, and exposure to environmental toxins. Patients may present with symptoms of male infertility, and a thorough evaluation often includes hormonal assays, genetic testing, and testicular biopsy. Management may involve assisted reproductive technologies, such as sperm retrieval techniques, and hormonal treatments to address underlying issues. Understanding the etiology of organic azoospermia is crucial for effective treatment and counseling regarding fertility options.
Detailed history of infertility, physical examination findings, and results of hormonal and genetic testing.
Evaluation of male infertility, management of testicular disorders, and treatment planning for assisted reproductive technologies.
Ensure clear documentation of the diagnostic process and treatment options discussed with the patient.
Hormonal assay results, assessment of endocrine function, and any relevant imaging studies.
Assessment of hormonal imbalances contributing to azoospermia and management of related endocrine disorders.
Document any hormonal therapies initiated and their impact on fertility.
Used to confirm the diagnosis of azoospermia.
Document the results of the semen analysis and any relevant patient history.
Urologists should ensure that the analysis is performed in a certified lab.
Organic azoospermia is due to intrinsic testicular dysfunction, while obstructive azoospermia occurs when sperm production is normal but blocked from reaching the ejaculate.
