ICD-10 Guide

Male Infertility

ICD-10 Coding for Male Infertility(N46.9, N46.0, Z31.81)

PRIMARY SPECIALTYUrology

COMPLEXITYHigh

LAST UPDATED09/15/2025

Sam Tuffun, PT, DPT

Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Male Infertility?

Essential facts and insights about Male Infertility

Key Clinical Considerations:

Reduced sperm count or quality
Hormonal imbalances
Genetic factors

Clinical Information

Clinical Criteria & Documentation Requirements

Patient history of infertility duration
Results of semen analysis
Hormonal assay results

Coding Guidelines

Usage Guidelines & Examples

Use N46 for general male infertility; specify with N46.0 or N46.1 for azoospermia or oligospermia.
Common errors include using general codes without specifying the type of infertility.

Code Exclusions

Important Exclusions

Conditions like erectile dysfunction or premature ejaculation
Alternative codes for female infertility

Specialty Focus

Primary Specialty

Urology

Specialty Applications

Men aged 18-50 experiencing infertility
Urology clinics and fertility centers

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

Comprehensive clinical documentation
Accurate code selection based on clinical criteria
Proper exclusion considerations
Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

Ensure proper documentation for billing
Verify code specificity requirements
Check for any additional codes needed
Review payer-specific guidelines

Common Issues

Insufficient clinical documentation
Incorrect code selection
Missing supporting diagnoses
Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Include detailed patient history, test results, and treatment plans.

Billing considerations?

Ensure accurate coding to reflect the specific type of infertility for proper reimbursement.

Male Infertility

Diagnosis Overview

Key Clinical Considerations:

Clinical Information

Clinical Criteria & Documentation Requirements

Coding Guidelines

Usage Guidelines & Examples

Code Exclusions

Important Exclusions

Related ICD-10 Codes

Related CPT Codes

Specialty Focus

Primary Specialty

Specialty Applications

Coding Complexity

Documentation

Documentation Templates

Billing Information

Billing Considerations

Common Issues

Frequently Asked Questions

Documentation requirements?

Billing considerations?

Male Infertility

Diagnosis Overview

Key Clinical Considerations:

Clinical Information

Clinical Criteria & Documentation Requirements

Coding Guidelines

Usage Guidelines & Examples

Code Exclusions

Important Exclusions

Related ICD-10 Codes

Related CPT Codes

Specialty Focus

Primary Specialty

Specialty Applications

Coding Complexity

Documentation

Documentation Templates

Billing Information

Billing Considerations

Common Issues

Frequently Asked Questions

Documentation requirements?

Billing considerations?