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 CodesN46.125

N46.125

Billable

Oligospermia due to systemic disease

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

Code Description

ICD-10 N46.125 is a billable code used to indicate a diagnosis of oligospermia due to systemic disease.

Key Diagnostic Point:

Oligospermia is defined as a lower than normal sperm count in the ejaculate, which can significantly impact male fertility. When oligospermia is attributed to systemic diseases, it indicates that the underlying condition, such as diabetes, chronic kidney disease, or autoimmune disorders, is affecting the testicular function and sperm production. Systemic diseases can disrupt hormonal balance, blood flow, and overall health, leading to reduced spermatogenesis. In addition to systemic factors, conditions like hydrocele, orchitis, and other testicular disorders can further complicate the diagnosis and management of oligospermia. Orchitis, for instance, can cause inflammation and damage to the testes, while hydrocele can lead to discomfort and potential complications affecting fertility. Proper diagnosis often requires a thorough clinical evaluation, including hormonal assessments, semen analysis, and imaging studies. Management may involve treating the underlying systemic disease, addressing any testicular disorders, and exploring assisted reproductive technologies if natural conception is not possible.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of systemic diseases that can cause oligospermia
  • Need for comprehensive documentation of underlying conditions
  • Potential overlap with other male infertility diagnoses
  • Variability in clinical presentation and management strategies

Audit Risk Factors

  • Inadequate documentation of the systemic disease
  • Failure to link oligospermia to the underlying condition
  • Insufficient clinical rationale for the diagnosis
  • Lack of follow-up documentation or treatment plans

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed patient history, physical examination findings, semen analysis results, and any imaging studies.

Common Clinical Scenarios

Evaluation of male infertility, management of testicular disorders, and treatment of orchitis.

Billing Considerations

Urologists must ensure that all relevant systemic diseases are documented to support the diagnosis of oligospermia.

Endocrinology

Documentation Requirements

Hormonal profiles, metabolic assessments, and documentation of any endocrine disorders affecting fertility.

Common Clinical Scenarios

Management of hormonal imbalances contributing to oligospermia.

Billing Considerations

Endocrinologists should document the relationship between systemic diseases and reproductive health.

Coding Guidelines

Inclusion Criteria

Use N46.125 When
  • 10 guidelines specify that oligospermia due to systemic disease must be supported by clinical documentation linking the systemic condition to the reproductive issue
  • Coders should ensure that the primary diagnosis reflects the underlying systemic disease when applicable

Exclusion Criteria

Do NOT use N46.125 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

89320CPT Code

Semen analysis

Clinical Scenario

Used to evaluate sperm count in patients suspected of oligospermia.

Documentation Requirements

Document the reason for the semen analysis and any relevant clinical findings.

Specialty Considerations

Urologists should ensure that the analysis is linked to the diagnosis of oligospermia.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of oligospermia, enabling better tracking of underlying causes and improving the quality of data for research and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of oligospermia, enabling better tracking of underlying causes and improving the quality of data for research and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of oligospermia, enabling better tracking of underlying causes and improving the quality of data for research and treatment outcomes.

Resources

Clinical References

  • •
    American Urological Association Guidelines

Coding & Billing References

  • •
    American Urological Association Guidelines

Frequently Asked Questions

What is the significance of coding oligospermia due to systemic disease?

Coding oligospermia as due to systemic disease is crucial for understanding the underlying health issues affecting male fertility. It allows for targeted treatment and management of both the reproductive and systemic conditions.