ICD-10 N46.1
Non-Billable HeaderOligospermia
About ICD-10-CM N46.1
ICD-10-CM code N46.1 represents Oligospermia. This is a non-billable header code in the Genitourinary System chapter (block N46). The 2026 edition of ICD-10-CM N46.1 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under N46.1. Per CMS ICD-10-CM Tabular 2026.
- Male infertility due to germinal cell desquamation
- Male infertility due to hypospermatogenesis
- Male infertility due to incomplete spermatogenic arrest
Medicare LCD Coverage for N46.1
Local Coverage Determinations (LCDs) from CMS MACs that list N46.1 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing N46.1.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but N46.1 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with N46.1
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To N46.1
Other codes in section N40-N53 (Diseases of male genital organs).
ICD-10 N46.1, Billing FAQ
Is ICD-10 code N46.1 billable? +
No, N46.1 is a non-billable header code. Use a more specific child code from block N46 when submitting claims.
What other names or terms map to N46.1? +
ICD-10 N46.1 includes: Male infertility due to germinal cell desquamation; Male infertility due to hypospermatogenesis; Male infertility due to incomplete spermatogenic arrest.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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