Oligospermia due to obstruction of efferent ducts
ICD-10 N46.123 is a billable code used to indicate a diagnosis of oligospermia due to obstruction of efferent ducts.
Oligospermia refers to a condition characterized by a lower than normal sperm count in the ejaculate, which can significantly impact male fertility. In the case of N46.123, the oligospermia is specifically attributed to an obstruction of the efferent ducts, which are responsible for transporting sperm from the testis to the epididymis. This obstruction can arise from various causes, including congenital anomalies, infections, trauma, or inflammatory conditions such as orchitis. The obstruction leads to a buildup of sperm in the testis, resulting in impaired sperm maturation and reduced sperm output. Clinically, patients may present with symptoms such as infertility, discomfort, or swelling in the scrotal area. Diagnosis typically involves a combination of semen analysis, imaging studies like ultrasound, and possibly surgical exploration to identify and address the obstruction. Management may include surgical intervention to relieve the obstruction, hormonal therapy, or assisted reproductive technologies depending on the severity of the condition and the patient's reproductive goals.
Detailed history of the patient's reproductive health, results of semen analysis, imaging studies, and any surgical findings.
Evaluation of male infertility, management of testicular pain or swelling, and post-surgical follow-up for obstruction repair.
Urologists must ensure that all relevant findings are documented to support the diagnosis and any procedures performed.
Comprehensive assessment of male reproductive health, including hormonal evaluations and detailed semen analysis.
Assessment of male infertility, hormonal imbalances, and management of testicular disorders.
Andrologists should document the impact of any hormonal treatments or assisted reproductive technologies used.
Used to evaluate testicular tissue in cases of unexplained oligospermia.
Document indications for biopsy and findings.
Urologists should ensure that the biopsy results are linked to the diagnosis of obstruction.
The primary cause of oligospermia in this code is obstruction of the efferent ducts, which can result from various factors such as congenital anomalies, infections, or trauma.
