2027 ICD-10-CM Diagnosis Code N46.9Male infertility, unspecified
ICD-10-CM Codes›N00–N99›N40-N53›N46
- Billable — Valid for Submission
- Chronic Condition
N46.9 is a billable ICD-10-CM diagnosis code for male infertility, unspecified. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) 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
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for N46.9.
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 caused by ionizing radiation
- 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
- Recessive sensorineural hearing loss
- Secondary infertility
- Secondary male infertility
- Semen examination: infertile
- Semen fertility - finding
- Sensorineural deafness and male infertility
- Sterility
- Unexplained infertility
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to N46.9: its own notes plus those printed at N46 and Chapter 14. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
- 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)
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name N46.9, its category, or a range that includes it.
Excludes1 1
These codes carry an Excludes1 note naming N46.9: they are not reported together with it, unless the two conditions are unrelated.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
male N46.9
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
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.
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.
Code HistoryHistory
Questions About N46.9Overview
What is the ICD-10 code for male infertility, unspecified?
The ICD-10-CM code for male infertility, unspecified is N46.9 (sometimes written as N469). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
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, 2026 through September 30, 2027.
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 0.6595 to 1.0553 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.
Can N46.9 be reported with Z98.52?
Not as a rule. The Excludes1 note at N46, which applies to N46.9, lists "vasectomy status (Z98.52)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
