Oligospermia due to other extratesticular causes
ICD-10 N46.129 is a billable code used to indicate a diagnosis of oligospermia due to other extratesticular causes.
Oligospermia is defined as a lower than normal sperm count in the ejaculate, which can significantly impact male fertility. The ICD-10 code N46.129 specifically refers to cases of oligospermia that arise from extratesticular causes, meaning that the underlying issues are not originating from the testes themselves. Common extratesticular causes include conditions such as hydrocele, which can affect sperm transport and function, and various penile disorders that may obstruct ejaculation. Additionally, infections like orchitis can lead to inflammation and subsequent oligospermia. Male infertility is often multifactorial, and andrological management may involve a thorough evaluation of these extratesticular factors, including hormonal assessments and imaging studies. Treatment options may vary from surgical interventions for hydrocele to medical therapies aimed at addressing underlying infections or hormonal imbalances. Accurate coding of N46.129 requires a comprehensive understanding of the patient's clinical history and the specific extratesticular factors contributing to their condition.
Detailed patient history, physical examination findings, and results of diagnostic tests such as semen analysis and imaging studies.
Evaluation of male infertility, management of hydrocele, and treatment of orchitis.
Urologists must ensure that all relevant extratesticular factors are documented to support the diagnosis of N46.129.
Comprehensive assessment of hormonal levels, semen analysis, and any relevant imaging studies.
Assessment of male infertility, hormonal imbalances, and treatment planning for oligospermia.
Andrologists should focus on the multifactorial nature of male infertility and document all contributing factors.
Used in conjunction with N46.129 for fertility evaluations.
Document the results of the semen analysis and any relevant clinical findings.
Urologists and andrologists should ensure that the analysis is comprehensive and addresses all factors contributing to oligospermia.
Common causes include hormonal imbalances, infections like orchitis, anatomical obstructions such as hydrocele, and certain penile disorders.
Oligospermia is diagnosed through semen analysis, which measures sperm count and motility, along with a thorough clinical evaluation.
Treatment options may include surgical interventions for anatomical issues, medical management for infections, and hormonal therapies.
