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v1.0.0
ICD-10 Guide
ICD-10 CodesN46.024

N46.024

Billable

Azoospermia due to radiation

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

Code Description

ICD-10 N46.024 is a billable code used to indicate a diagnosis of azoospermia due to radiation.

Key Diagnostic Point:

Azoospermia due to radiation refers to the absence of sperm in the ejaculate as a result of exposure to ionizing radiation. This condition can occur in males who have undergone radiation therapy for cancer treatment, particularly in the pelvic region, which can adversely affect testicular function. The radiation can damage the seminiferous tubules, where sperm production occurs, leading to impaired spermatogenesis. Patients may present with symptoms of infertility, and the diagnosis is typically confirmed through semen analysis. Management may involve assisted reproductive technologies, such as sperm retrieval techniques, and counseling regarding fertility preservation prior to radiation exposure. The impact of radiation on male fertility is significant, and understanding the underlying mechanisms is crucial for effective treatment and management of affected individuals.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires understanding of the effects of radiation on reproductive health.
  • Differentiation from other causes of azoospermia.
  • Need for comprehensive documentation of treatment history.
  • Potential for co-morbid conditions affecting fertility.

Audit Risk Factors

  • Inadequate documentation of radiation exposure.
  • Failure to document infertility workup.
  • Misclassification of azoospermia type.
  • Lack of follow-up documentation on fertility treatments.

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed history of radiation exposure, semen analysis results, and treatment plans.

Common Clinical Scenarios

Patients presenting with infertility post-radiation therapy.

Billing Considerations

Consideration of sperm banking prior to radiation therapy.

Oncology

Documentation Requirements

Records of cancer diagnosis, treatment protocols, and potential reproductive health discussions.

Common Clinical Scenarios

Patients undergoing treatment for pelvic cancers who require fertility preservation counseling.

Billing Considerations

Coordination with urology for fertility assessments post-treatment.

Coding Guidelines

Inclusion Criteria

Use N46.024 When
  • Follow ICD
  • CM guidelines for coding conditions related to infertility and the specific etiology of azoospermia
  • Ensure accurate documentation of the patient's history of radiation exposure and any related treatments

Exclusion Criteria

Do NOT use N46.024 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

89258CPT Code

Semen analysis

Clinical Scenario

Used to confirm diagnosis of azoospermia.

Documentation Requirements

Document the results of the semen analysis and any prior treatments.

Specialty Considerations

Urologists should ensure comprehensive fertility evaluations.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like azoospermia due to radiation, improving the accuracy of patient records and treatment plans.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like azoospermia due to radiation, improving the accuracy of patient records and treatment plans.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like azoospermia due to radiation, improving the accuracy of patient records and treatment plans.

Resources

Clinical References

  • •
    American Urological Association Guidelines

Coding & Billing References

  • •
    American Urological Association Guidelines

Frequently Asked Questions

What is the primary cause of azoospermia in patients with a history of radiation?

The primary cause is damage to the testicular tissue from radiation exposure, which disrupts normal sperm production.