2026 ICD-10-CM Diagnosis Code N46.9Male infertility, unspecified

ICD-10-CM Codes›N00–N99›N40-N53›N46

ICD-10-CM N46.9
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

N46.9 is a billable ICD-10-CM diagnosis code for male infertility, unspecified. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 729 through 730. The code is restricted by the Medicare Code Editor to adult patients (age 15 through 124). In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Male infertility.

Code Identity

ICD-10-CM Code
N46.9
Billable Status
Yes — Valid for Submission
Code Describes
Male infertility, unspecified
Short Description
Male infertility, unspecified
Same as the full description in the CMS dataset.
Parent Code
N46
Male infertility

Code Classification

ChapterN00–N99Diseases of the genitourinary system
SectionN40-N53Diseases of male genital organs
CategoryN46Male infertility
This CodeN46.9Male infertility, unspecified

Code EditsBilling

Medicare Code Editor checks that affect claim validity for N46.9.

Adult diagnoses
The Medicare Code Editor detects inconsistencies in adult cases by checking a patient's age and any diagnosis on the patient's record. The adult code edits apply to patients age range is 15–124 years inclusive (e.g., senile delirium, mature cataract).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Abnormal reproductive state
  • Acquired impaired spermatogenesis
  • Acquired male infertility
  • Autoimmune male infertility
  • Drug-induced male infertility
  • Environmental toxin-induced male infertility
  • Fertility problem
  • Infertile
  • Infertility caused by radiation
  • Infertility due to drug therapy
  • Infertility due to germinal cell desquamation
  • Infertility due to infection
  • Infertility due to systemic disease
  • Infertility due to testicular hypoplasia
  • Male infertility
  • Male infertility due to cryptorchidism
  • Male infertility due to cystic fibrosis
  • Male infertility due to Mycoplasma infection
  • Male infertility due to systemic disease
  • Male infertility due to varicocele
  • Male infertility of chromosomal origin
  • Male infertility of developmental origin
  • Male infertility of genetic origin
  • Male sterility
  • Natural sterility
  • Postoperative sterility
  • Post-traumatic sterility
  • Primary infertility
  • Primary male infertility
  • Radiation-induced male infertility
  • Recessive sensorineural hearing loss
  • Secondary infertility
  • Secondary male infertility
  • Semen examination: infertile
  • Semen fertility - finding
  • Sensorineural deafness and male infertility
  • Sterility
  • Unexplained infertility

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Infertility
      • male

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR GEN015
Male infertility
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Female Infertility

    infertility in a woman.

  • Male Infertility

    a condition where a man is unable to conceive a child due to genetic disorders, structural problems, hormonal imbalances, or lifestyle choices that negatively affect sperm production and/or transport.

Patient EducationClinical

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:

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert N46.9 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
606.9 Male infertility NOS
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About N46.9Overview

Is N46.9 (Male infertility) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report male infertility, unspecified on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does N46.9 group to?

When male infertility, unspecified is the principal diagnosis on an inpatient stay, it groups to MS-DRG 729, 730, with relative weights from 0.6720 to 1.0587 depending on complications. Higher weights mean higher Medicare reimbursement.

Who can N46.9 be reported for?

The Medicare Code Editor checks male infertility, unspecified against patient demographics: this code is intended for adult patients (age 15 through 124). Claims outside these limits are flagged as inconsistent.

What is the ICD-9 equivalent of N46.9?

Under the General Equivalence Mappings, male infertility, unspecified converts to ICD-9-CM 606.9 (male infertility NOS). The mapping is a direct match.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.