ICD-10-CM Code N46

Male infertility

Version 2020 Non-Billable Code

Not Valid for Submission

N46 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of male infertility. The code is NOT valid for the year 2020 for the submission of HIPAA-covered transactions.

ICD-10:N46
Short Description:Male infertility
Long Description:Male infertility

Consider the following ICD-10 codes with a higher level of specificity:

  • 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
  • N46.11 - Organic oligospermia
  • N46.12 - Oligospermia due to extratesticular causes
  • N46.121 - Oligospermia due to drug therapy
  • N46.122 - Oligospermia due to infection
  • N46.123 - Oligospermia due to obstruction of efferent ducts
  • N46.124 - Oligospermia due to radiation
  • N46.125 - Oligospermia due to systemic disease
  • N46.129 - Oligospermia due to other extratesticular causes
  • N46.8 - Other male infertility
  • N46.9 - ... unspecified

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code N46:

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

Clinical Information

  • INFERTILITY MALE-. the inability of the male to effect fertilization of an ovum after a specified period of unprotected intercourse. male sterility is permanent infertility.

Code Classification

  • Diseases of the genitourinary system (N00–N99)
    • Diseases of male genital organs (N40-N53)
      • Male infertility (N46)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Male Infertility

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. Causes of male infertility include

  • Physical problems with the testicles
  • Blockages in the ducts that carry sperm
  • Hormone problems
  • A history of high fevers or mumps
  • Genetic disorders
  • 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 technology. Happily, many couples treated for infertility are able to have babies.

NIH: National Institute of Child Health and Human Development


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