ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 N46.11

Billable / Specific

Organic oligospermia

N46
Block
1
Synonyms
2
LCDs
2
Payer Policies
0
Linked CPTs

About ICD-10-CM N46.11

ICD-10-CM code N46.11 represents Organic oligospermia. This is a billable/specific code in the Genitourinary System chapter (block N46). The 2026 edition of ICD-10-CM N46.11 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under N46.11. Per CMS ICD-10-CM Tabular 2026.

  • Oligospermia NOS

Medicare LCD Coverage for N46.11

Local Coverage Determinations (LCDs) from CMS MACs that list N46.11 as a covered diagnosis.

2 LCDs

Showing top 2. Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Transrectal Ultrasound
Article ID: 57427, Effective: 2024-10-01 00:00:00, 118 covered, 0 non-covered
CPT 76872 →
CMS LCD: Billing and Coding: Transrectal Ultrasound
Article ID: 57427, Effective: 2024-10-01 00:00:00, 118 covered, 0 non-covered
CPT 76873 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing N46.11.

2 policies

1 Medicare

Billing and Coding: Transrectal Ultrasound
Policy ID: ART-57427

1 Aetna

Varicocele: Selected Treatments
Policy ID: CPB-0413

CPT Codes Commonly Billed with N46.11

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

No procedure linkages on file for N46.11

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.

Convert N46.11 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
N46.11 6061 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 N46.11, Billing FAQ

Is ICD-10 code N46.11 billable? +

Yes, N46.11 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to N46.11? +

ICD-10 N46.11 includes: Oligospermia NOS.

What ICD-9 codes does N46.11 map to? +

Per CMS GEMs, N46.11 maps to ICD-9 codes: 6061. Useful for legacy data review and historical claim analysis.

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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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