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ICD-10 Guide
ICD-10 CodesN46.023

N46.023

Billable

Azoospermia due to obstruction of efferent ducts

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

Code Description

ICD-10 N46.023 is a billable code used to indicate a diagnosis of azoospermia due to obstruction of efferent ducts.

Key Diagnostic Point:

Azoospermia due to obstruction of efferent ducts is a male reproductive disorder characterized by the absence of sperm in the ejaculate, resulting from a blockage in the efferent ducts that transport sperm from the testis to the epididymis. This obstruction can arise from various causes, including congenital anomalies, infections, trauma, or surgical complications. The condition can lead to male infertility, as the blockage prevents sperm from being present in the semen. Patients may present with symptoms such as infertility, discomfort, or swelling in the scrotal area. Diagnosis typically involves a thorough medical history, physical examination, semen analysis, and imaging studies such as ultrasound to identify the site and cause of the obstruction. Treatment options may include surgical intervention to remove the obstruction or assistive reproductive technologies, depending on the underlying cause and the patient's fertility goals.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between obstructive and non-obstructive azoospermia
  • Need for detailed documentation of the cause of obstruction
  • Potential for co-existing conditions affecting male fertility
  • Variability in treatment approaches based on underlying causes

Audit Risk Factors

  • Inadequate documentation of the obstruction's cause
  • Failure to document associated symptoms or conditions
  • Incorrect coding of related procedures
  • Lack of follow-up documentation on treatment outcomes

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

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

Common Clinical Scenarios

Evaluation of male infertility, post-surgical complications, and management of testicular disorders.

Billing Considerations

Urologists must ensure accurate documentation of the obstruction's etiology and any surgical interventions performed.

Reproductive Endocrinology

Documentation Requirements

Comprehensive fertility assessments, hormonal evaluations, and treatment protocols.

Common Clinical Scenarios

Management of male infertility cases, including hormonal therapy and assisted reproductive techniques.

Billing Considerations

Endocrinologists should document the impact of hormonal levels on fertility and any related treatments.

Coding Guidelines

Inclusion Criteria

Use N46.023 When
  • According to ICD
  • 10 guidelines, N46
  • 023 should be used when the obstruction of the efferent ducts is confirmed through diagnostic testing
  • It is important to document the specific cause of the obstruction and any associated conditions

Exclusion Criteria

Do NOT use N46.023 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

55250CPT Code

Vasectomy

Clinical Scenario

Used in cases where obstruction is due to prior vasectomy.

Documentation Requirements

Document the reason for the procedure and any follow-up evaluations.

Specialty Considerations

Urologists should ensure clear documentation of the patient's fertility goals post-procedure.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of azoospermia, enabling better tracking of male infertility causes and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of azoospermia, enabling better tracking of male infertility causes and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of azoospermia, enabling better tracking of male infertility causes and treatment outcomes.

Resources

Clinical References

  • •
    American Urological Association Guidelines

Coding & Billing References

  • •
    American Urological Association Guidelines

Frequently Asked Questions

What is the primary cause of azoospermia due to obstruction of efferent ducts?

The primary cause can vary but often includes congenital anomalies, infections, or trauma that leads to blockage in the efferent ducts.