2020 ICD-10-CM Diagnosis Code O92.1

Cracked nipple associated with pregnancy, the puerperium, and lactation

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • O92.1 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • Short description: Cracked nipple assoc w pregnancy, the puerp, and lactation
  • The 2020 edition of ICD-10-CM O92.1 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of O92.1 - other international versions of ICD-10 O92.1 may differ.
Applicable To
  • Fissure of nipple, gestational or puerperal
The following code(s) above O92.1 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 O92.1:
  • 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
ICD-10-CM Codes Adjacent To O92.1
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
O92.111 …… first trimester
O92.112 …… second trimester
O92.113 …… third trimester
O92.119 …… unspecified trimester
O92.12 Cracked nipple associated with the puerperium
O92.13 Cracked nipple associated with lactation
O92.2 Other and unspecified disorders of breast associated with pregnancy and the puerperium
O92.20 Unspecified disorder of breast associated with pregnancy and the puerperium
O92.29 Other disorders of breast associated with pregnancy and the puerperium

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