N46.01 Organic azoospermia

ICD10CM code

#### Name of the Condition
- Organic Azoospermia

#### Summary
Organic azoospermia is a medical condition characterized by the absence of sperm in a man's ejaculate due to underlying physical, structural, or hormonal issues. It results in male infertility as sperm production is impeded.

#### Causes
- Genetic disorders such as Klinefelter syndrome
- Blockages in the male reproductive tract
- Testicular damage from injury, infection, or surgery
- Hormonal imbalances affecting sperm production

#### Risk Factors
- Family history of reproductive issues
- Exposure to certain toxins or radiation
- Previous surgeries or injuries to the testicles
- Infections affecting the reproductive system

#### Symptoms
- Inability to conceive a child
- Potential underlying symptoms related to causative conditions (e.g., hormonal imbalances)

#### Diagnosis
- Semen analysis to confirm the absence of sperm
- Hormonal profiling to assess levels of testosterone and other key hormones
- Genetic tests to identify possible hereditary causes
- Imaging studies, such as ultrasound, to detect blockages or structural disorders

#### Treatment Options
- Surgical procedures to correct blockages in the reproductive tract
- Hormone therapy to address imbalances in cases of inadequate hormone production
- In vitro fertilization (IVF) and other assisted reproductive technologies for achieving pregnancy

#### Prognosis and Follow-Up
- Prognosis depends on the underlying cause and the success of treatments
- Regular follow-up appointments are crucial for assessing treatment efficacy and making necessary adjustments

#### Complications
- Emotional and psychological distress associated with infertility
- Potential impact on relationships and quality of life

#### Lifestyle & Prevention
- Avoidance of substances that can affect fertility, such as certain medications, drugs, and excessive alcohol
- Maintaining a healthy lifestyle with a balanced diet and regular exercise

#### When to Seek Professional Help
- If a couple has been unable to conceive after a year of unprotected intercourse
- If any unusual symptoms or conditions related to reproductive health arise

#### Additional Resources
- American Society for Reproductive Medicine (asrm.org)
- RESOLVE: The National Infertility Association (resolve.org)

#### Tips for Medical Coders
- Ensure that the code N46.01 is applied specifically to cases of azoospermia identified as organic in nature
- Verify that documentation supports the use of this code, differentiating it from obstructive or other types of azoospermia

Medical Policies and Guidelines for Organic azoospermia

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