2025 ICD-10-CM code N46
Male infertility.
Medical necessity for the evaluation and treatment of male infertility is established when a couple has been unable to conceive after 12 months of regular, unprotected intercourse.The medical necessity for specific diagnostic tests and treatment procedures should be individually justified based on the patient's clinical presentation and the suspected underlying cause of infertility.
Diagnosis and treatment of male infertility falls under the purview of specialists like urologists, andrologists, and reproductive endocrinologists. They are responsible for conducting a thorough evaluation, including semen analysis, hormonal testing, and physical examination, to determine the underlying cause of infertility.Treatment options vary depending on the identified cause and may include lifestyle modifications, medication, surgery, or assisted reproductive technologies.
In simple words: A male is unable to get a female pregnant after one year or longer of unprotected sex. This can be caused by a number of problems like low sperm production, problems with sperm function, and blockages that prevent the sperm from reaching the egg.
The inability of the male to effect fertilization of an ovum after a specified period of unprotected intercourse.Male sterility is permanent infertility.
Example 1: A 35-year-old male and his partner have been trying to conceive for 18 months without success. Semen analysis reveals a low sperm count and motility, leading to a diagnosis of oligospermia (N46.1)., A 40-year-old male presents with a history of mumps orchitis in adolescence.Examination and testing reveal the absence of sperm in his semen, leading to a diagnosis of azoospermia (N46.0)., A 28-year-old male with no prior medical history undergoes infertility evaluation.Testing reveals a blockage in the vas deferens, obstructing the flow of sperm.This obstruction is surgically corrected.
Documentation should include details of the patient's history, including duration of infertility, sexual history, relevant medical and surgical history, medication use, lifestyle factors (e.g., smoking, alcohol use), and exposure to environmental toxins. Physical examination findings should be documented. Results of semen analysis, hormonal testing, genetic testing, imaging studies, and any other diagnostic procedures should also be included.The diagnosis of male infertility and the treatment plan should be clearly documented.
** This information is current as of December 1, 2024.Coding guidelines and medical practices are subject to change, so it is always essential to refer to the most up-to-date resources for accurate information.
- Specialties:Urology, Andrology, Reproductive Endocrinology
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital