Azoospermia due to other extratesticular causes
ICD-10 N46.029 is a billable code used to indicate a diagnosis of azoospermia due to other extratesticular causes.
Azoospermia is defined as the absence of sperm in the ejaculate, which can significantly impact male fertility. The code N46.029 specifically refers to azoospermia resulting from extratesticular causes, which may include conditions such as hydrocele, testicular disorders, orchitis, and penile disorders. Hydrocele, characterized by the accumulation of fluid around the testicle, can lead to pressure effects that impair sperm production or transport. Testicular disorders, including varicocele and testicular torsion, can also contribute to azoospermia by affecting the testicular environment necessary for spermatogenesis. Orchitis, an inflammation of the testes often due to infection, can damage the seminiferous tubules where sperm is produced. Additionally, penile disorders, such as hypospadias or phimosis, may obstruct the normal ejaculation process, leading to a lack of sperm in the ejaculate. Understanding these extratesticular causes is crucial for andrological management, which may involve surgical interventions, hormonal therapy, or assisted reproductive technologies to address male infertility effectively.
Detailed patient history, physical examination findings, and results from diagnostic tests such as semen analysis and imaging studies.
Evaluation of male infertility, management of hydrocele, and treatment of orchitis.
Urologists should ensure that all relevant findings are documented to support the diagnosis of azoospermia and its extratesticular causes.
Comprehensive assessment of hormonal levels, genetic testing, and detailed semen analysis.
Assessment of male infertility, counseling on assisted reproductive technologies, and management of penile disorders.
Andrologists must document the specific extratesticular causes and any interventions performed to improve fertility outcomes.
Used to confirm the diagnosis of azoospermia.
Results of semen analysis must be documented in the medical record.
Urologists and andrologists should ensure that the analysis is comprehensive and includes all necessary parameters.
Obstructive azoospermia occurs when sperm production is normal, but there is a blockage preventing sperm from being present in the ejaculate. Non-obstructive azoospermia is due to issues with sperm production itself, often related to testicular function.
