2025 ICD-10-CM code N46.8
(Valid) Effective Date: N/A Revision Date: N/A Male infertility - Diseases of male genital organs (N40-N53) Chapter 14: Diseases of the genitourinary system (N00-N99) Feed
Other male infertility.This code encompasses male infertility not classified elsewhere.
Medical necessity for services related to N46.8 is established by the documentation of infertility, defined as the inability to conceive after 12 months of unprotected intercourse, along with a comprehensive evaluation to determine the cause and guide treatment.
Diagnosis and management of male infertility falls under various specialties, including urology, endocrinology, and reproductive medicine.Clinicians are responsible for conducting a thorough evaluation, including semen analysis, hormone testing, and physical examination, to determine the cause of infertility. Treatment options vary based on the diagnosed cause and patient preferences.
In simple words: This code is used when a man is unable to father a child after a year of trying, and the reason isn't due to low sperm count (oligospermia) or no sperm count (azoospermia), or when the exact cause hasn't been pinpointed by testing.
This ICD-10-CM code identifies male infertility where the underlying cause is not categorized under other, more specific codes within the N46 category. It includes cases where azoospermia or oligospermia are not present, or the specific reason for infertility has not been identified after investigation.
Example 1: A 35-year-old male presents with primary infertility after one year of unprotected intercourse. Semen analysis shows normal sperm count and motility but abnormal morphology. After further investigation, no specific cause for infertility is identified. N46.8 is used., A 40-year-old male with a history of varicocele repair presents for infertility evaluation. Semen analysis reveals normal parameters.Despite the history of varicocele, since no other clear etiology for infertility is found after a full workup, N46.8 is assigned., A 28-year-old male undergoes infertility testing which reveals normal hormonal profiles and no anatomical abnormalities. Semen analysis results are within normal limits.Given the lack of definitive findings, N46.8 is applied.
Documentation for N46.8 should include details of the infertility evaluation, including semen analysis results, hormonal tests, physical exam findings, and any relevant imaging or procedures performed. The documentation should support the conclusion that other specific causes of male infertility have been ruled out.
** It's important to distinguish N46.8 from N46.9 (Male infertility, unspecified), which is used when a complete workup has not been performed or the documentation is insufficient to identify a more specific code.
- Payment Status: Active
- Specialties:Urology, Endocrinology, Reproductive Endocrinology/Infertility
- Place of Service:Office, Outpatient Hospital, Men's Health Clinic