2020 ICD-10-CM Diagnosis Code O92

Other disorders of breast and disorders of lactation associated with pregnancy and the puerperium

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • O92 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • Short description: Oth disord of brst/lactatn assoc w pregnancy and the puerp
  • The 2020 edition of ICD-10-CM O92 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of O92 - other international versions of ICD-10 O92 may differ.
The following code(s) above O92 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to O92:
  • O00-O9A
    2020 ICD-10-CM Range O00-O9A

    Pregnancy, childbirth and the puerperium

    Note
    • CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
    • Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
    • Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
    • 1st trimester- less than 14 weeks 0 days
    • 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
    • 3rd trimester- 28 weeks 0 days until delivery
    Type 1 Excludes
    • supervision of normal pregnancy (Z34.-)
    Type 2 Excludes
    • mental and behavioral disorders associated with the puerperium (F53.-)
    • obstetrical tetanus (A34)
    • postpartum necrosis of pituitary gland (E23.0)
    • puerperal osteomalacia (M83.0)
    Use Additional
    • code from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
    Pregnancy, childbirth and the puerperium
  • O85-O92
    2020 ICD-10-CM Range O85-O92

    Complications predominantly related to the puerperium

    Type 2 Excludes
    • mental and behavioral disorders associated with the puerperium (F53.-)
    • obstetrical tetanus (A34)
    • puerperal osteomalacia (M83.0)
    Complications predominantly related to the puerperium
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to O92:
  • Type 1 Excludes: Z39.1
    ICD-10-CM Diagnosis Code Z39.1

    Encounter for care and examination of lactating mother

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years) POA Exempt
    Applicable To
    • Encounter for supervision of lactation
    Type 1 Excludes
    • disorders of lactation (O92.-)
ICD-10-CM Codes Adjacent To O92
O91.12 Abscess of breast associated with the puerperium
O91.13 Abscess of breast associated with lactation
O91.2 Nonpurulent mastitis associated with pregnancy, the puerperium and lactation
O91.21 Nonpurulent mastitis associated with pregnancy
O91.211 …… first trimester
O91.212 …… second trimester
O91.213 …… third trimester
O91.219 …… unspecified trimester
O91.22 Nonpurulent mastitis associated with the puerperium
O91.23 Nonpurulent mastitis associated with lactation
O92 Other disorders of breast and disorders of lactation associated with pregnancy and the puerperium
O92.0 Retracted nipple associated with pregnancy, the puerperium, and lactation
O92.01 Retracted nipple associated with pregnancy
O92.011 …… first trimester
O92.012 …… second trimester
O92.013 …… third trimester
O92.019 …… unspecified trimester
O92.02 Retracted nipple associated with the puerperium
O92.03 Retracted nipple associated with lactation
O92.1 Cracked nipple associated with pregnancy, the puerperium, and lactation
O92.11 Cracked nipple associated with pregnancy

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.