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2025 ICD-10-CM code N46.022

Azoospermia due to infection.

Appropriate coding requires careful documentation of the underlying infectious process and its demonstrated effect on sperm production or transport.Additional codes may be needed to specify the site and type of infection.

The code is medically necessary when azoospermia is directly attributed to an infection impacting male fertility.This necessitates a comprehensive evaluation including medical history, physical examination, and diagnostic tests to confirm the infection and its causal relationship to the absence of sperm.

Urologist or other qualified healthcare professional specializing in male reproductive health.

IMPORTANT:May be used in conjunction with codes specifying the type of infection (e.g., specific bacterial, viral, or parasitic infections).

In simple words: This code means a man has no sperm in his semen because of an infection.The infection might be in his testicles or other reproductive organs, preventing sperm from being made or released.

This ICD-10-CM code classifies azoospermia, the absence of sperm in semen, specifically resulting from an infection.The infection may affect the testes, epididymis, or other parts of the male reproductive system, impairing sperm production or transport.This diagnosis requires confirmation through semen analysis and identification of the causative infection.

Example 1: A 35-year-old male presents with infertility. Semen analysis reveals azoospermia.Further investigation reveals a history of epididymitis (inflammation of the epididymis) several months prior, and bacterial culture confirms a persistent infection.Code N46.022 is assigned., A 40-year-old male presents with a history of mumps orchitis (inflammation of the testes due to mumps infection) in childhood. He is now experiencing infertility, and semen analysis confirms azoospermia.Code N46.022 is appropriate., A 28-year-old male with a history of prostatitis (inflammation of the prostate gland) is diagnosed with azoospermia after attempting to conceive with his partner for over a year.Following a thorough workup, an infectious etiology is confirmed. Code N46.022 is used.

* Detailed history including relevant infections.* Results of semen analysis showing azoospermia.* Documentation of infection diagnosis (e.g., culture results, imaging findings).* Confirmation of the link between infection and azoospermia.

** The diagnosis of azoospermia due to infection requires a confirmed infectious etiology.Other causes of azoospermia must be ruled out.

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