Azoospermia due to extratesticular causes
ICD-10 N46.02 is a billable code used to indicate a diagnosis of azoospermia due to extratesticular causes.
Azoospermia is defined as the absence of sperm in the ejaculate, which can be attributed to various extratesticular causes. These causes may include conditions such as hydrocele, which can obstruct the transport of sperm; testicular disorders like varicocele or testicular torsion that affect sperm production; orchitis, an inflammation of the testes that can impair spermatogenesis; and penile disorders that may hinder ejaculation. Male infertility is often multifactorial, and extratesticular factors play a significant role in the diagnosis and management of azoospermia. Proper evaluation typically involves a thorough medical history, physical examination, and diagnostic tests such as semen analysis, hormonal assessments, and imaging studies. Andrological management may include surgical interventions, hormonal therapies, or assisted reproductive technologies depending on the underlying cause. Understanding the extratesticular factors contributing to azoospermia is crucial for effective treatment and improving fertility outcomes.
Detailed medical history, physical examination findings, results of semen analysis, and any imaging studies.
Evaluation of male infertility, management of hydrocele, and treatment of orchitis.
Urologists must ensure clear documentation of the specific extratesticular cause to support the use of N46.02.
Comprehensive assessment of hormonal levels, semen analysis, and any surgical interventions performed.
Assessment and management of male infertility, including counseling on assisted reproductive technologies.
Andrologists should document the rationale for treatment choices and any multidisciplinary approaches taken.
Used in the evaluation of male infertility when azoospermia is suspected.
Results of the semen analysis must be documented, including sperm count and motility.
Urologists and andrologists should ensure that the analysis is performed in a certified lab.
Azoospermia refers to the complete absence of sperm in the ejaculate, while oligospermia indicates a low sperm count. Both conditions can impact male fertility but require different diagnostic and management approaches.
