What is the ICD-10 code for female infertility?

The ICD-10 code for female infertility due to anovulation is N97.0. It requires documentation of anovulation confirmed by hormonal tests and cycle tracking.

How is male infertility coded in ICD-10?

Male infertility, such as oligospermia, is coded as N46.1. This requires a semen analysis showing a low sperm count.

ICD-10 Coding for Fertility Issues(N97.0, E28.2, N46.0)

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Explore detailed ICD-10 coding for fertility issues, including female and male infertility. Learn about documentation requirements and common coding pitfalls.

Also known as:

InfertilitySubfertilityReproductive Challenges

Related ICD-10 Code Ranges

Complete code families applicable to Fertility Issues

N00-N99Primary Range

Diseases of the genitourinary system

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
N97.0	Female infertility associated with anovulation	Use when infertility is due to lack of ovulation, confirmed by hormonal tests and cycle tracking.	FSH >10 mIU/mL Anovulatory cycles on BBT charting
N46.1	Oligospermia	Use when semen analysis confirms low sperm count as a factor in infertility.	Semen analysis showing <15 million sperm/mL
Z31.83	Encounter for assisted reproductive fertility procedure cycle	Use for encounters related to ART cycles, such as IVF.	Documented ART procedure initiation

Primary ICD-10-CM Codes

Female infertility associated with anovulation

N97.0Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Polycystic ovarian syndromeE28.2

AzoospermiaN46.0

Encounter for fertility testingZ31.41

Documentation & Coding Risks

Avoid these common issues when documenting Fertility Issues.

Omitting male factor infertility in documentation.

Impact

Clinical: Incomplete clinical picture affecting treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to incomplete coding.

Mitigation

Always include male factor analysis in infertility workup., Use structured templates for documentation.

Using N97.9 for unspecified infertility when specific factors are known.

Impact

Reimbursement: May lead to denied claims due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Reduces accuracy of clinical data.

Mitigation

Identify and document specific infertility factors before coding.

ART Procedure Documentation

Impact

Inadequate documentation of ART cycles can lead to audit issues.

Mitigation

Use detailed templates and ensure all procedures are documented.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with N97.0.

Infertility→

Primary Code

N97.0

Female infertility associated with anovulation

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ICD-10 codes7

Coding risks3

FAQs2

ICD-10 Coding for Fertility Issues(N97.0, E28.2, N46.0)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for female infertility?

How is male infertility coded in ICD-10?

Related condition guides