Wiki ICD10 coding for woman when male infertility is the cause of treatment


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Hi all,

I'm hoping for some input on coding ICD10 for a woman receiving fertility treatment - IUI - when the male is infertile. Our providers keep using N46.9 - Male infertility for the woman, but, of course, it rejects as gender mismatch. Would Z31.81 (Encounter for male factor infertility in female patient) be an appropriate billable code for this situation? Any other input?
Our providers are using Z31.41 (encounter for fertility testing) as a diagnosis for our male new patient evaluations. I think they should be using the N46.9 (male infertility, unspecified) since we are not performing any testing at that telehealth visit. Thoughts on which DX is the correct option?
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What about Z31.69 Encounter for other general counseling and advice on procreation?
Approximate Synonyms
  • Counseling procreative management, medication discussion
  • Counseling, infertility
  • Infertility counseling done
  • Preconception counseling
  • Preconception counseling done
  • Procreative management for desired sterilization reversal done
  • Procreative management with medication discussion done
  • Procreative management, sterilization reversal desired
  • Reproductive management with preconception counseling done
  • Reproductive management, preconception counseling
I wouldn't use male infertility, as you have not yet established that the patient has infertility if no testing was done.