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ICD-10 Guide
ICD-10 CodesN46.122

N46.122

Billable

Oligospermia due to infection

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

Code Description

ICD-10 N46.122 is a billable code used to indicate a diagnosis of oligospermia due to infection.

Key Diagnostic Point:

Oligospermia due to infection refers to a condition characterized by a lower than normal sperm count in the ejaculate, specifically resulting from an infectious process. This condition can arise from various infections affecting the male reproductive system, including sexually transmitted infections (STIs) like chlamydia and gonorrhea, as well as other bacterial or viral infections that can lead to inflammation of the reproductive organs. Infections such as orchitis, which is inflammation of the testicles, can directly impact sperm production and quality. The presence of a hydrocele, which is a fluid-filled sac around a testicle, may also complicate the clinical picture, as it can be associated with underlying infections. Male infertility is a significant concern in patients with oligospermia, as reduced sperm count can hinder the ability to conceive. Proper diagnosis often involves a combination of clinical evaluation, laboratory tests, and imaging studies to identify the underlying infection and assess its impact on reproductive health. Treatment typically focuses on addressing the infection and may include antibiotics or antiviral medications, along with supportive measures to improve fertility outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between various causes of oligospermia.
  • Need for comprehensive documentation of infection type and treatment.
  • Potential overlap with other male reproductive disorders.
  • Variability in clinical presentation and laboratory results.

Audit Risk Factors

  • Inadequate documentation of the infectious cause.
  • Failure to link oligospermia to the specific infection.
  • Lack of follow-up documentation on treatment outcomes.
  • Misclassification of the severity of the condition.

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed history of symptoms, laboratory results, and treatment plans.

Common Clinical Scenarios

Evaluation of male infertility, management of testicular infections, and treatment of hydrocele.

Billing Considerations

Ensure clear documentation of the infectious agent and its correlation with oligospermia.

Andrology

Documentation Requirements

Comprehensive assessment of reproductive health, including semen analysis and hormonal evaluations.

Common Clinical Scenarios

Assessment of male fertility issues, management of hormonal imbalances, and treatment of infections.

Billing Considerations

Focus on the interplay between infections and fertility, requiring thorough documentation of all findings.

Coding Guidelines

Inclusion Criteria

Use N46.122 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the infection type and its relationship to oligospermia
  • Include any relevant laboratory findings and treatment plans

Exclusion Criteria

Do NOT use N46.122 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

87491CPT Code

Chlamydia trachomatis and Neisseria gonorrhoeae nucleic acid detection

Clinical Scenario

Used in conjunction with the diagnosis of oligospermia due to infection.

Documentation Requirements

Document the reason for testing and results.

Specialty Considerations

Urologists and andrologists should ensure proper linkage between test results and diagnosis.

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 oligospermia due to infection, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like oligospermia due to infection, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the primary cause of oligospermia in this code?

The primary cause of oligospermia in this code is an infection affecting the male reproductive system, which can lead to inflammation and reduced sperm production.