Organic oligospermia

This code signifies a male infertility factor characterized by a low sperm count in the ejaculate, specifically due to an identifiable organic cause. This underlying organic etiology differentiates it from idiopathic or unexplained oligospermia.

Apply this code when a semen analysis confirms oligospermia and diagnostic workup (e.g., hormonal studies, genetic testing, physical examination) reveals an organic basis, such as a varicocele, obstruction, or hypogonadism. Documentation must clearly state the presence of oligospermia and link it to a specific organic cause.

• Do not use this code for idiopathic or unexplained oligospermia; a more specific code for the underlying organic cause should also be reported if known.
• Ensure the medical record explicitly states "organic oligospermia" or details an organic cause for the low sperm count.
• Consider sequencing this code after the primary diagnosis if the organic cause is a separate, more specific condition (e.g., N46.11 secondary to N50.1 for testicular torsion).