ICD-10-CM Billable Code

N46.11

Organic oligospermia

Clinical Classification Guidelines

Inclusion Terms

  • Oligospermia NOS

Medical Intelligence & Overview

Organic oligospermia, classified under ICD-10 code N46.11, is a medical condition characterized by a lower than normal sperm count due to identifiable organic or physical factors affecting the testes or reproductive system. This condition is a specific type of oligospermia, where the sperm production is impaired because of structural or functional abnormalities within the reproductive organs. Recognized as Oligospermia NOS (Not Otherwise Specified), it points to a generalized reduction in sperm count caused by identifiable organic causes that can be diagnosed through medical evaluation.

Causes & Symptoms

Clinical Causes: Testicular damage or injury Varicocele (enlargement of veins within the scrotum) Hormonal imbalances affecting testicular function Infections such as mumps orchitis or sexually transmitted infections Genetic disorders like Klinefelter syndrome Exposure to environmental toxins or radiation Undescended testes Autoimmune responses attacking sperm-producing cells Previous testicular surgery or trauma Chronic illnesses impacting testicular health

Key Symptoms: Reduced semen volume Decreased sperm motility or movement Difficulty or inability to conceive Possible testicular pain or swelling No specific symptoms directly attributable to the condition itself

Diagnostic & Treatment

Diagnosis Path: The diagnosis of organic oligospermia involves a combination of medical history review, physical examinations, and laboratory tests. Semen analysis is the primary diagnostic tool used to measure sperm concentration, motility, and morphology. Further assessments may include hormone level testing, genetic screening, ultrasound of the testes, and other imaging studies to identify structural abnormalities or underlying organic causes. In some cases, testicular biopsies are performed to evaluate sperm production directly.

Treatment Protocols: Managing organic oligospermia depends on identifying and addressing the underlying cause. Possible treatment strategies include hormonal therapy if hormonal imbalances are detected, surgical intervention for varicocele, or corrective procedures for structural abnormalities. In cases where natural conception is unlikely, assisted reproductive techniques like in-vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) may be recommended. Lifestyle modifications, such as avoiding environmental toxins and maintaining a healthy weight, can also support reproductive health.

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

Clinical Advice & FAQs

Billing Guidance

Is N46.11 a billable ICD-10 code?
Yes, N46.11 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report N46.11?
Clinical documentation must specify the nature of Organic oligospermia and any associated comorbidities for accurate reporting.

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