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ICD-10 Guide
ICD-10 CodesN46.9

N46.9

Billable

Male infertility, unspecified

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

Code Description

ICD-10 N46.9 is a billable code used to indicate a diagnosis of male infertility, unspecified.

Key Diagnostic Point:

Male infertility is defined as the inability of a male to achieve pregnancy in a fertile female after 12 months or more of regular unprotected sexual intercourse. The condition can arise from various underlying issues, including hormonal imbalances, anatomical abnormalities, or genetic factors. Hydrocele, testicular disorders, orchitis, and penile disorders can contribute to male infertility. Hydrocele, characterized by fluid accumulation around the testicle, may not directly cause infertility but can indicate underlying testicular issues. Testicular disorders, such as varicocele or testicular torsion, can impair sperm production or transport. Orchitis, an inflammation of the testis, often due to infection, can lead to reduced fertility. Penile disorders, including congenital abnormalities or erectile dysfunction, can also affect the ability to conceive. Andrological management involves a comprehensive evaluation of male reproductive health, including semen analysis, hormonal assessments, and imaging studies to identify the cause of infertility. Treatment options may include lifestyle modifications, medical therapies, or surgical interventions, depending on the underlying cause. Accurate coding of male infertility is crucial for appropriate management and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes leading to male infertility.
  • Need for comprehensive documentation of clinical findings.
  • Potential overlap with other male reproductive disorders.
  • Variability in treatment approaches based on etiology.

Audit Risk Factors

  • Insufficient documentation of infertility workup.
  • Failure to specify underlying causes when known.
  • Inconsistent use of related codes for co-existing conditions.
  • Lack of follow-up documentation on treatment outcomes.

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed history of infertility, physical examination findings, and results of diagnostic tests.

Common Clinical Scenarios

Evaluation of male infertility, management of hydrocele, and treatment of orchitis.

Billing Considerations

Ensure all relevant diagnostic tests and treatments are documented to support coding.

Reproductive Endocrinology

Documentation Requirements

Comprehensive hormonal evaluations and semen analysis results.

Common Clinical Scenarios

Assessment of hormonal imbalances and management of male infertility treatments.

Billing Considerations

Document any multidisciplinary approaches to treatment, including referrals.

Coding Guidelines

Inclusion Criteria

Use N46.9 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that all relevant clinical information is documented
  • 9 should be used when the specific cause of male infertility is not identified
  • If a specific condition is diagnosed, a more specific code should be used

Exclusion Criteria

Do NOT use N46.9 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

89320CPT Code

Semen analysis

Clinical Scenario

Used to evaluate male fertility potential.

Documentation Requirements

Document the reason for the semen analysis and results.

Specialty Considerations

Urologists and reproductive endocrinologists commonly perform this procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of male infertility, improving the ability to capture the nuances of male reproductive health. N46.9 serves as a catch-all for unspecified cases, but coders should strive for specificity when possible.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of male infertility, improving the ability to capture the nuances of male reproductive health. N46.9 serves as a catch-all for unspecified cases, but coders should strive for specificity when possible.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of male infertility, improving the ability to capture the nuances of male reproductive health. N46.9 serves as a catch-all for unspecified cases, but coders should strive for specificity when possible.

Resources

Clinical References

  • •
    American Urological Association Guidelines

Coding & Billing References

  • •
    American Urological Association Guidelines

Frequently Asked Questions

When should I use N46.9?

Use N46.9 when the specific cause of male infertility is not identified after a thorough evaluation. Ensure that all relevant clinical information is documented to support its use.