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Compare/N46 vs Z98.5

N46 vs Z98.5

N46 (Male infertility) compared with Z98.5 (Sterilization status), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. Z98.5 carries an Excludes1 note covering N46: “male infertility (N46.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

N46Male infertilityZ98.5Sterilization status
Billing statusNon-billable header

Report instead: N46.01, N46.021, N46.022, N46.023, N46.024

Non-billable header

Report instead: Z98.51, Z98.52

ClassificationN00-N99 — Diseases of the Genitourinary System (N00-N99)Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99)
DefinitionMale infertility is a non-billable ICD-10-CM category code (N46).Sterilization status is a non-billable ICD-10-CM category code (Z98.5).
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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources