2025 ICD-10-CM code N46.9
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Diseases of the male genital organs - Diseases of male genital organs (N40-N53) Diseases of the genitourinary system (N00-N99) Feed
Male infertility, unspecified.
Medical necessity is established through the documentation of a couple’s inability to conceive after a reasonable period of unprotected intercourse.The code is appropriate when a comprehensive evaluation fails to identify a specific cause for the male infertility.
Urologist or reproductive endocrinologist.Responsibilities include comprehensive evaluation of the patient's reproductive health, which may involve semen analysis, hormonal testing, genetic testing, and imaging studies to identify potential causes of infertility.May also include consultation and management of treatment options, such as medication, surgery, or assisted reproductive technologies.
In simple words: This code means a man is having trouble fathering a child, but doctors haven't figured out why yet.
This code is used to classify cases of male infertility where the specific cause is unknown or cannot be determined.It encompasses a range of conditions affecting male reproductive function resulting in an inability to conceive.The diagnosis requires a thorough evaluation of the patient's reproductive system and relevant medical history.
Example 1: A 35-year-old male presents with a history of trying to conceive for two years without success.Semen analysis reveals low sperm count and motility.Further investigations, including hormone testing and genetic screening, yield no specific cause for the infertility., A 40-year-old male presents with a history of undescended testicles and a lack of spermatogenesis.He has been unable to father a child despite years of trying with his partner.Due to the absence of clear etiology for infertility, N46.9 is assigned., A 28-year-old male undergoes a thorough evaluation for infertility, including semen analysis, hormone levels, and genetic testing.Despite extensive testing, no definitive cause for his infertility is found.
Complete medical history including age, duration of infertility, sexual history, past medical history, family history, and lifestyle factors.Detailed results of semen analysis, hormone levels, genetic testing, and any imaging studies performed.Documentation of the thoroughness of the workup and rationale for assigning an unspecified infertility code.
** This code should be used cautiously and only when a thorough investigation fails to identify a specific cause for male infertility.Ongoing research may lead to a better understanding of the etiology of male infertility and the development of more specific codes in the future. Always consult the latest version of the ICD-10-CM manual for the most up-to-date coding guidelines.
- Payment Status: Active
- Specialties:Urology, Reproductive Endocrinology, Family Medicine
- Place of Service:Office, Hospital, Clinic