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2025 ICD-10-CM code N46.11

Organic oligospermia, a condition characterized by a low sperm count due to underlying medical issues.

Code to the highest level of specificity.Additional codes should be used to specify any underlying cause or associated conditions.

Medical necessity is established when a patient presents with infertility and a low sperm count is confirmed through semen analysis, indicating the need for further investigation and potential management.

Urologist or reproductive endocrinologist.The clinical responsibility includes evaluating the patient's history, performing a physical examination, ordering and interpreting semen analysis, and potentially additional tests to determine the cause of oligospermia.Management may involve medical therapy, surgical intervention, or assisted reproductive techniques.

IMPORTANT:May be coded with additional codes to specify the underlying cause.

In simple words: Organic oligospermia means a man has a low sperm count because of a health problem affecting his testicles or other reproductive organs.This is different from other low sperm counts where the reason isn't known. Doctors do tests to check sperm count and find out what's causing the problem.

N46.11, Organic oligospermia, refers to a reduced sperm count in semen caused by underlying medical conditions affecting the testicles or other reproductive organs.This differs from other forms of oligospermia where the cause isn't identified.The diagnosis requires laboratory testing to confirm the reduced sperm concentration and further investigations to pinpoint the etiology.

Example 1: A 35-year-old male presents with infertility. Semen analysis reveals a low sperm count (oligospermia). Further investigations, including hormonal tests and testicular ultrasound, identify varicoceles as the underlying cause.The code N46.11 is used, along with codes to specify varicoceles., A 40-year-old male with a history of chemotherapy for lymphoma presents with infertility. Semen analysis shows a severely reduced sperm count.A low sperm count due to past chemotherapy treatment is documented, and the code N46.11 is used., A 28-year-old male undergoes a semen analysis as part of an infertility workup. The analysis reveals oligospermia, and no specific cause can be identified after thorough evaluation.N46.11 is used because the cause is unspecified.

Detailed patient history including age, duration of symptoms (infertility), relevant medical history, sexual history, medications, and lifestyle factors.Results of semen analysis (volume, sperm concentration, motility, morphology).Findings from any additional investigations performed (hormonal tests, scrotal ultrasound, genetic testing).Physician's assessment, diagnosis, and treatment plan.

** This code is used for organic oligospermia, meaning the low sperm count is due to a known underlying medical condition. Further investigations are needed to determine the specific cause.The code may be used in conjunction with other codes depending on the identified cause.

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