O92 — Other disorders of breast and disorders of lactation associated with pregnancy and the puerperium
Is O92 billable?
No — O92 is a non-billable header code. O92 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 20 billable codes beneath O92.
Billable codes under this header
- O92.3Agalactia
- O92.4Hypogalactia
- O92.5Suppressed lactation
- O92.6Galactorrhea
- O92.02Retracted nipple associated with the puerperium
- O92.03Retracted nipple associated with lactation
- O92.12Cracked nipple associated with the puerperium
- O92.13Cracked nipple associated with lactation
- O92.20Unspecified disorder of breast associated with pregnancy and the puerperium
- O92.29Other disorders of breast associated with pregnancy and the puerperium
- O92.70Unspecified disorders of lactation
- O92.79Other disorders of lactation
- O92.011Retracted nipple associated with pregnancy, first trimester
- O92.012Retracted nipple associated with pregnancy, second trimester
- O92.013Retracted nipple associated with pregnancy, third trimester
- O92.019Retracted nipple associated with pregnancy, unspecified trimester
- O92.111Cracked nipple associated with pregnancy, first trimester
- O92.112Cracked nipple associated with pregnancy, second trimester
- O92.113Cracked nipple associated with pregnancy, third trimester
- O92.119Cracked nipple associated with pregnancy, unspecified trimester
O92 at a glance
| Code | O92 |
|---|---|
| Description | Other disorders of breast and disorders of lactation associated with pregnancy and the puerperium |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes1 — never code together — inherited from Chapter 15
The conditions below can never be reported together with O92 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- supervision of normal pregnancy (Z34.-)
Use additional code — inherited from Chapter 15
Report an additional code alongside O92 to fully describe the condition. O92 is sequenced first.
- code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
Excludes2 — not included here — inherited from Chapter 15
The conditions below are not part of O92, but a patient may have both at the same time. When documentation supports it, O92 and the excluded code may both be reported.
Excludes2 — not included here — inherited from O85-O92
The conditions below are not part of O92, but a patient may have both at the same time. When documentation supports it, O92 and the excluded code may both be reported.
What codes fall under O92? (8)
- O92.0Retracted nipple associated with pregnancy, the puerperium, and lactationnot billable
- O92.1Cracked nipple associated with pregnancy, the puerperium, and lactationnot billable
- O92.2Other and unspecified disorders of breast associated with pregnancy and the puerperiumnot billable
- O92.3Agalactia
- O92.4Hypogalactia
- O92.5Suppressed lactation
- O92.6Galactorrhea
- O92.7Other and unspecified disorders of lactationnot billable
How long has O92 existed?
O92 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which codes are confused with O92?
ICD-10-CM declares these codes mutually exclusive with O92 — exactly one of each pair can be correct for a given encounter.