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v1.0.0
ICD-10 Guide
ICD-10 CodesN46.8

N46.8

Billable

Other male infertility

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

Code Description

ICD-10 N46.8 is a billable code used to indicate a diagnosis of other male infertility.

Key Diagnostic Point:

Other male infertility encompasses a range of conditions that contribute to male reproductive challenges not classified under more specific infertility codes. This includes disorders such as hydrocele, which can affect sperm production and transport, and testicular disorders like varicocele or testicular torsion that may impair testicular function. Orchitis, an inflammation of the testes, can also lead to infertility by damaging the seminiferous tubules where sperm is produced. Additionally, penile disorders, including Peyronie's disease or erectile dysfunction, can complicate the ability to conceive. The management of these conditions often requires a multidisciplinary approach, including urologists and andrologists, who may perform diagnostic tests such as semen analysis, hormonal evaluations, and imaging studies. Treatment options may range from surgical interventions to assistive reproductive technologies, depending on the underlying cause of infertility. Accurate coding for N46.8 is crucial for appropriate treatment planning and insurance reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying conditions contributing to infertility
  • Need for comprehensive documentation of diagnostic tests
  • Potential overlap with other infertility codes
  • Variability in treatment approaches based on specific diagnoses

Audit Risk Factors

  • Inadequate documentation of specific infertility causes
  • Failure to link diagnosis with appropriate treatment
  • Misclassification of infertility types
  • Lack of supporting evidence for the diagnosis

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed clinical notes on physical examinations, diagnostic tests, and treatment plans.

Common Clinical Scenarios

Evaluation of patients presenting with infertility complaints, including semen analysis and imaging studies.

Billing Considerations

Ensure all relevant test results and treatment discussions are documented to support the diagnosis.

Andrology

Documentation Requirements

Comprehensive assessment reports including hormonal evaluations and genetic testing results.

Common Clinical Scenarios

Management of male infertility cases with hormonal imbalances or anatomical abnormalities.

Billing Considerations

Document any multidisciplinary consultations and treatment recommendations clearly.

Coding Guidelines

Inclusion Criteria

Use N46.8 When
  • According to ICD
  • 10 guidelines, N46
  • 8 should be used when male infertility is diagnosed but does not fall under more specific categories
  • Documentation must support the diagnosis and include relevant clinical findings

Exclusion Criteria

Do NOT use N46.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

89320CPT Code

Semen analysis

Clinical Scenario

Used to evaluate male fertility potential.

Documentation Requirements

Document the reason for the analysis and results.

Specialty Considerations

Urologists should ensure that all findings are clearly documented.

55040CPT Code

Hydrocelectomy

Clinical Scenario

Surgical intervention for hydrocele impacting fertility.

Documentation Requirements

Document pre-operative assessments and post-operative outcomes.

Specialty Considerations

Ensure surgical notes detail the procedure and any complications.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of male infertility, enabling better tracking of conditions and treatment outcomes. N46.8 provides a broader category for conditions that do not fit into more defined classifications, improving the granularity of data collection.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of male infertility, enabling better tracking of conditions and treatment outcomes. N46.8 provides a broader category for conditions that do not fit into more defined classifications, improving the granularity of data collection.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What conditions are included under N46.8?

N46.8 includes various male infertility conditions not classified elsewhere, such as hydrocele, testicular disorders, and orchitis.

How do I document for N46.8?

Documentation should include a detailed clinical history, examination findings, and results of any diagnostic tests related to infertility.