Is N46 a billable ICD-10-CM code?

No. N46 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does N46 sit in the tabular list?

Diseases of the genitourinary system (N00-N99), in the block Diseases of male genital organs (N40-N53).

What cannot be coded together with N46?

N46 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

N46

N46 — Male infertility

Non-billable headerICD-10-CM

N46 is a non-billable header ICD-10-CM code for male infertility. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

vasectomy status (Z98.52)

Other codes that can never be billed with N46

These codes carry an Excludes1 note pointing at N46. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading N46 alone.

R86Abnormal findings in specimens from male genital organs
E29Testicular dysfunction
Z98.5Sterilization status

Risk adjustment

N46 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead N46

4 child codes. Green means billable.

Questions about N46

Is N46 a billable ICD-10-CM code?: No. N46 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does N46 sit in the tabular list?: Diseases of the genitourinary system (N00-N99), in the block Diseases of male genital organs (N40-N53).
What cannot be coded together with N46?: N46 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.