ICDcodes.org
FY2027

O92.3 — Agalactia

Billable

Is O92.3 billable?

Yes — O92.3 is billable for FY2027. O92.3 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. O92.3 may be submitted for encounters from October 1, 2026 through September 30, 2027.

O92.3 at a glance

CodeO92.3
DescriptionAgalactia
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does O92.3 group to?

O92.3 sits in MDC 14 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 769Postpartum and Post Abortion Diagnoses with O.R. Proceduressurgical

How is O92.3 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to O92.3. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Agalactia (primary)
  • Failure, failed › lactation
  • Lactation, lactating › failed (breast) (puerperal, postpartum)
  • Puerperal, puerperium › failure › lactation (complicated by, complications)

Excludes1 — never code together

The conditions below can never be reported together with O92.3 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • Elective agalactia (O92.5)
  • Secondary agalactia (O92.5)
  • Therapeutic agalactia (O92.5)

Inclusion terms

Alternative wording in documentation that is classified to O92.3.

  • Primary agalactia

Excludes1 — never code together — inherited from Chapter 15

The conditions below can never be reported together with O92.3 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 O92.3 to fully describe the condition. O92.3 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 O92.3, but a patient may have both at the same time. When documentation supports it, O92.3 and the excluded code may both be reported.

  • mental and behavioral disorders associated with the puerperium (F53.-)
  • obstetrical tetanus (A34)
  • postpartum necrosis of pituitary gland (E23.0)
  • puerperal osteomalacia (M83.0)

Excludes2 — not included here — inherited from O85-O92

The conditions below are not part of O92.3, but a patient may have both at the same time. When documentation supports it, O92.3 and the excluded code may both be reported.

  • mental and behavioral disorders associated with the puerperium (F53.-)
  • obstetrical tetanus (A34)
  • puerperal osteomalacia (M83.0)

How long has O92.3 existed?

O92.3 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 O92.3?

ICD-10-CM declares these codes mutually exclusive with O92.3 — exactly one of each pair can be correct for a given encounter.

Which conditions are coded to O92.3?

What other codes are in the O92 family? (7)