ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesN46.11

N46.11

Billable

Organic oligospermia

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

Code Description

ICD-10 N46.11 is a billable code used to indicate a diagnosis of organic oligospermia.

Key Diagnostic Point:

Organic oligospermia is defined as a condition characterized by a lower than normal sperm count in the ejaculate, specifically less than 15 million sperm per milliliter. This condition can arise from various underlying factors, including hormonal imbalances, genetic disorders, infections, and anatomical abnormalities. In men, organic oligospermia can significantly impact fertility, leading to challenges in conception. It is often associated with other testicular disorders such as hydrocele, orchitis, and varicocele, which can further complicate the clinical picture. Hydrocele, for instance, may not directly cause oligospermia but can indicate underlying testicular dysfunction. Orchitis, an inflammation of the testes, can lead to damage of the seminiferous tubules, where sperm is produced, thus contributing to oligospermia. Proper diagnosis often involves a comprehensive evaluation, including semen analysis, hormonal assessments, and imaging studies. Management may involve treating underlying conditions, lifestyle modifications, and assisted reproductive technologies if natural conception is not possible.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between organic and non-organic causes of oligospermia.
  • Need for comprehensive documentation of underlying conditions.
  • Potential overlap with other male infertility codes.
  • Variability in sperm count thresholds based on laboratory standards.

Audit Risk Factors

  • Inadequate documentation of sperm analysis results.
  • Failure to document associated conditions like hydrocele or orchitis.
  • Misclassification of organic vs. non-organic oligospermia.
  • Lack of clear treatment plans or follow-up documentation.

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed semen analysis results, hormonal levels, and any imaging studies performed.

Common Clinical Scenarios

Evaluation of male infertility, management of testicular pain, and assessment of testicular masses.

Billing Considerations

Ensure that all relevant test results and clinical findings are documented to support the diagnosis.

Andrology

Documentation Requirements

Comprehensive assessment of male reproductive health, including lifestyle factors and sexual history.

Common Clinical Scenarios

Management of male infertility, hormonal therapy, and surgical interventions for anatomical abnormalities.

Billing Considerations

Focus on the interplay between hormonal levels and sperm production.

Coding Guidelines

Inclusion Criteria

Use N46.11 When
  • According to ICD
  • 10 guidelines, N46
  • 11 should be used when organic causes of oligospermia are confirmed through clinical evaluation and testing
  • It is essential to document the specific organic etiology when available

Exclusion Criteria

Do NOT use N46.11 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

89320CPT Code

Semen analysis

Clinical Scenario

Used to evaluate male fertility in cases of suspected oligospermia.

Documentation Requirements

Results of semen analysis must be documented, including sperm count and motility.

Specialty Considerations

Urologists and andrologists should ensure comprehensive reporting of findings.

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 organic oligospermia, improving the accuracy of diagnoses and treatment plans. This specificity aids in better tracking of male infertility issues and associated conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like organic oligospermia, improving the accuracy of diagnoses and treatment plans. This specificity aids in better tracking of male infertility issues and associated conditions.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    American Urological Association Guidelines

Coding & Billing References

  • •
    American Urological Association Guidelines

Frequently Asked Questions

What is the difference between organic and non-organic oligospermia?

Organic oligospermia is caused by identifiable physiological factors, such as hormonal imbalances or anatomical abnormalities, while non-organic oligospermia may be due to lifestyle factors or unexplained reasons.