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2025 ICD-10-CM code N46.029

Azoospermia due to other extratesticular causes.

Code N46.029 is used for azoospermia due to extratesticular causes other than drug therapy, infection, obstruction of efferent ducts, radiation, or systemic disease. It is important to document the specific underlying cause.

Medical necessity for treatment of azoospermia is established by the patient's desire for fertility and the presence of an underlying treatable cause.

The physician is responsible for determining the specific underlying cause of the azoospermia through appropriate diagnostic testing and providing or referring for treatment as needed.

In simple words: The male is unable to produce sperm due to issues not related to the testicles themselves.

Absence of sperm in the semen due to causes originating outside the testes.

Example 1: A 35-year-old male presents with infertility. Semen analysis reveals azoospermia. Further investigation reveals a history of drug use that has caused the azoospermia., A 40-year-old male undergoes chemotherapy for cancer. Subsequent semen analysis shows azoospermia due to the radiation effects of the therapy., A 25-year-old male with a history of vasectomy presents with azoospermia.

Medical record documentation should include the type of azoospermia, any associated causes (such as drug use, infection, or systemic diseases), relevant medical history, physical examination findings, and diagnostic test results (e.g., semen analysis, hormone levels).

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