2025 ICD-10-CM code N46.1
(Active) Effective Date: N/A Male Infertility - Diseases of male genital organs (N40-N53) Diseases of the genitourinary system (N00-N99) Feed
Oligospermia (low sperm count), a condition characterized by a suboptimal concentration of spermatozoa in the ejaculated semen.
Medical necessity for the evaluation and treatment of oligospermia is established by the inability to conceive after a reasonable period of unprotected intercourse (typically one year) and confirmed by a semen analysis indicating a low sperm concentration.Further evaluation to identify underlying causes and guide treatment decisions is also medically necessary.
Diagnosis and management of oligospermia typically falls under the purview of urologists, reproductive endocrinologists, or primary care physicians specializing in men's health.Clinical responsibility includes a thorough evaluation of the patient's medical history, physical examination, semen analysis, and potentially hormonal testing and imaging studies to determine the underlying cause of the low sperm count.Treatment options may include lifestyle modifications, addressing underlying medical conditions, or assisted reproductive technologies.
In simple words: Oligospermia means a man has a low sperm count, which can make it difficult to father a child.
Oligospermia is a male infertility diagnosis characterized by a low sperm count, specifically below 20 million sperm per milliliter of semen.This reduced concentration can impair the ability of sperm to successfully fertilize an ovum.It is often associated with other semen abnormalities such as reduced sperm motility (asthenospermia) or abnormal sperm morphology (teratospermia).
Example 1: A 35-year-old male presents with difficulty conceiving after one year of unprotected intercourse. Semen analysis reveals a sperm concentration of 15 million/mL, consistent with oligospermia. Further evaluation is conducted to determine potential underlying causes and appropriate treatment strategies., A 28-year-old male with a history of cryptorchidism (undescended testicle) undergoes semen analysis as part of a fertility workup.The results show a sperm concentration of 10 million/mL, indicating oligospermia.The patient is counseled on the implications of this finding and potential treatment options, including assisted reproductive technologies., A 40-year-old male undergoing chemotherapy for lymphoma has his semen cryopreserved prior to treatment.Post-treatment semen analysis reveals a sperm count of 5 million/mL, diagnosed as oligospermia, likely secondary to the chemotherapy.The patient and his partner are counseled on their options for family planning, including the use of previously cryopreserved semen.
Documentation should include a detailed medical history focusing on relevant factors such as previous infections, surgeries, medications, and lifestyle factors.Physical examination findings should be documented, along with the results of semen analysis, including sperm concentration, motility, and morphology.Any additional diagnostic testing, such as hormonal assays or imaging studies, should also be documented.The rationale for the chosen treatment plan and the patient's understanding of the risks and benefits should be clearly documented.
- Specialties:Urology, Reproductive Endocrinology, Primary Care/Men's Health
- Place of Service:Office, Outpatient Hospital