Organic azoospermia

This diagnosis code signifies the complete absence of sperm in the ejaculate due to a physiological or anatomical defect within the male reproductive system, rather than an obstruction. It indicates a primary testicular failure or a congenital absence of germ cells, leading to infertility.

Apply this code when documentation clearly states "organic azoospermia" or describes non-obstructive azoospermia, often confirmed by semen analysis showing no sperm and further diagnostic workup ruling out an obstructive cause. This is typically used in the context of male infertility evaluations.

• Differentiate from obstructive azoospermia (N46.02), which has a distinct code.
• Ensure documentation specifies "organic" or "non-obstructive" to support this code.
• Consider sequencing with codes for underlying causes of testicular failure if known and documented.