2020 ICD-10-CM Diagnosis Code N46

Male infertility

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • N46 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2020 edition of ICD-10-CM N46 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of N46 - other international versions of ICD-10 N46 may differ.
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as N46. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • vasectomy status (
    ICD-10-CM Diagnosis Code Z98.52

    Vasectomy status

      2016 2017 2018 2019 2020 Billable/Specific Code Adult Dx (15-124 years) Male Dx POA Exempt
    Z98.52
    )
The following code(s) above N46 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to N46:
  • N00-N99
    2020 ICD-10-CM Range N00-N99

    Diseases of the genitourinary system

    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Diseases of the genitourinary system
Clinical Information
  • Infertility is a term doctors use if a man hasn't been able to get a woman pregnant after at least one year of trying. Male infertility can result from physical problems, hormone problems, and lifestyle or environmental factors.about a third of the time, infertility is because of a problem with the man. One third of the time, it is a problem with the woman. Sometimes no cause can be found.if you suspect you are infertile, see your doctor. There are tests that may tell if you have fertility problems. When it is possible to find the cause, treatments may include medicines, surgery, or assisted reproductive technologies. Happily, two-thirds of couples treated for infertility are able to have babies. dept. Of health and human services office on women's health
  • The inability of the male to effect fertilization of an ovum after a specified period of unprotected intercourse. Male sterility is permanent infertility.
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to N46:
  • Type 1 Excludes: Z31
    , Z98.5
    ICD-10-CM Diagnosis Code Z31

    Encounter for procreative management

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • complications associated with artificial fertilization (N98.-)
    • female infertility (N97.-)
    • male infertility (N46.-)
    ICD-10-CM Diagnosis Code Z98.5

    Sterilization status

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • female infertility (N97.-)
    • male infertility (N46.-)
ICD-10-CM Codes Adjacent To N46
N44.03 Torsion of appendix testis
N44.04 Torsion of appendix epididymis
N44.1 Cyst of tunica albuginea testis
N44.2 Benign cyst of testis
N44.8 Other noninflammatory disorders of the testis
N45 Orchitis and epididymitis
N45.1 Epididymitis
N45.2 Orchitis
N45.3 Epididymo-orchitis
N45.4 Abscess of epididymis or testis
N46 Male infertility
N46.0 Azoospermia
N46.01 Organic azoospermia
N46.02 Azoospermia due to extratesticular causes
N46.021 Azoospermia due to drug therapy
N46.022 Azoospermia due to infection
N46.023 Azoospermia due to obstruction of efferent ducts
N46.024 Azoospermia due to radiation
N46.025 Azoospermia due to systemic disease
N46.029 Azoospermia due to other extratesticular causes
N46.1 Oligospermia

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.