O92.011 — Retracted nipple associated with pregnancy, first trimester
Is O92.011 billable?
Yes — O92.011 is billable for FY2027. O92.011 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. O92.011 may be submitted for encounters from October 1, 2026 through September 30, 2027.
O92.011 at a glance
| Code | O92.011 |
|---|---|
| Description | Retracted nipple associated with pregnancy, first trimester |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does O92.011 group to?
O92.011 sits in MDC 14 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 817Other Antepartum Diagnoses with O.R. Procedures with MCCsurgical
- 818Other Antepartum Diagnoses with O.R. Procedures with CCsurgical
- 819Other Antepartum Diagnoses with O.R. Procedures without CC/MCCsurgical
How is O92.011 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under O92.01, the nearest indexed parent of O92.011. Use them to find the family, then select the specific code.
- Retraction › nipple › associated with › pregnancy
Excludes1 — never code together — inherited from Chapter 15
The conditions below can never be reported together with O92.011 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 O92.011 to fully describe the condition. O92.011 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 O92.011, but a patient may have both at the same time. When documentation supports it, O92.011 and the excluded code may both be reported.
Excludes2 — not included here — inherited from O85-O92
The conditions below are not part of O92.011, but a patient may have both at the same time. When documentation supports it, O92.011 and the excluded code may both be reported.
How long has O92.011 existed?
O92.011 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.