2025 ICD-10-CM code N46.023
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of male genital organs - Azoospermia due to extratesticular causes Diseases of the genitourinary system (N00-N99) Feed
Azoospermia due to obstruction of the efferent ducts.
Modifiers may be applicable depending on the circumstances of service provision. Consult the appropriate coding guidelines.
Medical necessity is established by the presence of infertility and the diagnostic evaluation confirming azoospermia secondary to obstruction of the efferent ducts. The testing and diagnosis are deemed medically necessary to determine the cause of infertility and guide management options.
The clinical responsibility rests with the urologist or other qualified healthcare professional who diagnoses and manages male infertility. This includes performing a comprehensive evaluation, which may involve semen analysis, physical examination, and potentially imaging studies to pinpoint the cause of azoospermia and the location of obstruction in the efferent ducts.
- Diseases of the genitourinary system (N00-N99)
- Diseases of the genitourinary system > Diseases of male genital organs > Male infertility > Azoospermia due to extratesticular causes
In simple words: This code describes a medical condition where a man's semen lacks sperm because of a blockage in the tubes that carry sperm from the testicles. This blockage prevents sperm from reaching the semen, resulting in infertility.
This code signifies azoospermia, the absence of sperm in semen, specifically caused by an obstruction in the efferent ducts, the small tubes that transport sperm from the testes to the epididymis.This obstruction prevents the normal passage of sperm, leading to infertility. Accurate diagnosis requires identifying the anatomical location and cause of the blockage.
Example 1: A 35-year-old male presents with infertility. Semen analysis reveals azoospermia.Further investigation, including imaging, identifies an obstruction within the efferent ducts.Code N46.023 is used to report the diagnosis., A 40-year-old male undergoes vasectomy reversal surgery.Post-operative semen analysis reveals azoospermia. Imaging shows an obstruction of the efferent ducts at the site of the previous vasectomy. N46.023 is applied along with codes for the surgical procedure., A 28-year-old male with a history of mumps orchitis presents with infertility. Semen analysis confirms azoospermia.Physical examination and imaging reveal bilateral obstruction of efferent ducts as a consequence of prior inflammation. The appropriate code is N46.023.
Detailed medical history, physical examination findings, results of semen analysis, and imaging studies (e.g., ultrasound, MRI) demonstrating obstruction of the efferent ducts are essential for accurate coding.
** This code is highly specific and requires detailed clinical documentation to ensure proper reimbursement.Always refer to the latest official ICD-10-CM guidelines for accurate coding practices.
- Revenue Code: Revenue codes will vary depending on the place of service and specific services provided.Consult your local payer guidelines.
- RVU: RVUs are not directly assigned to ICD-10 codes.Reimbursement is determined by the procedures performed and other factors, such as place of service.
- Global Days: Not applicable to this diagnostic code.
- Payment Status: Active
- Modifier TC rule: Not applicable to this diagnostic code.
- Fee Schedule: Not applicable to this diagnostic code.
- Specialties:Urology, Reproductive Endocrinology and Infertility
- Place of Service:Office, Hospital (Inpatient or Outpatient), Ambulatory Surgical Center