2023

  1. ICD-10-CM Codes
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  2. O00-O9A
    3. ›
  3. O85-O92
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  4. O92-
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  5. 2023 ICD-10-CM Diagnosis Code O92.13

2023 ICD-10-CM Diagnosis Code O92.13

Cracked nipple associated with lactation

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
  • O92.13 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2023 edition of ICD-10-CM O92.13 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of O92.13 - other international versions of ICD-10 O92.13 may differ.
ICD-10-CM Coding Rules
  • O92.13 is applicable to maternity patients aged 12 - 55 years inclusive.
  • O92.13 is applicable to female patients.
The following code(s) above O92.13 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 O92.13:
  • O00-O9A
    2023 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
    2023 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
  • O92.1
    ICD-10-CM Diagnosis Code O92.1

    Cracked nipple associated with pregnancy, the puerperium, and lactation

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Applicable To
    • Fissure of nipple, gestational or puerperal
    Cracked nipple associated with pregnancy, the puerperium, and lactation
Approximate Synonyms
  • Cracked nipple during lactation
  • Left cracked nipple associated with lactation
  • Left cracked nipple during lactation
  • Right cracked nipple associated with lactation
  • Right cracked nipple during lactation
ICD-10-CM O92.13 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 769 Postpartum and post abortion diagnoses with o.r. Procedures
  • 776 Postpartum and post abortion diagnoses without o.r. Procedures

Convert O92.13 to ICD-9-CM

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
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change

Diagnosis Index entries containing back-references to O92.13:

ICD-10-CM Codes Adjacent To O92.13
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
O92.3 Agalactia
O92.4 Hypogalactia
O92.5 Suppressed lactation
O92.6 Galactorrhea
O92.7 Other and unspecified disorders of lactation
O92.70 Unspecified disorders of lactation
O92.79 Other disorders of lactation

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

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