2027 ICD-10-CM Diagnosis Code O92Other disorders of breast and disorders of lactation associated with pregnancy and the puerperium

ICD-10-CM Codes›O00-O9A›O85-O92›O92

ICD-10-CM O92
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

O92 is a non-billable ICD-10-CM category code for other disorders of breast and disorders of lactation associated with pregnancy and the puerperium, so it cannot be submitted on claims. Use a more specific code from this category instead, such as O92.011, O92.012, O92.013, and O92.019.

Code Identity

ICD-10-CM Code
O92
Billable Status
No — Non-Billable Category
Code Describes
Other disorders of breast and disorders of lactation associated with pregnancy and the puerperium
Short Description
Oth disord of brst/lactatn assoc w pregnancy and the puerp
Chapter
O85-O92
Complications predominantly related to the puerperium

Code Classification

ChapterO00-O9APregnancy, childbirth and the puerperium
SectionO85-O92Complications predominantly related to the puerperium
CategoryO92Other disorders of breast and disorders of lactation associated with pregnancy and the puerperium
This CodeO92Other disorders of breast and disorders of lactation associated with pregnancy and the puerperium

Specific Coding for Oth disord of brst/lactatn assoc w pregnancy and the puerpOverview

Non-specific codes like O92 require more characters. Use one of these billable codes instead:

  • O92.0 for Retracted nipple associated with pregnancy, the puerperium, and lactation

  • O92.01 for Retracted nipple associated with pregnancy

  • Use O92.02 for Retracted nipple associated with the puerperium

  • Use O92.03 for Retracted nipple associated with lactation

  • O92.1 for Cracked nipple associated with pregnancy, the puerperium, and lactation

  • O92.11 for Cracked nipple associated with pregnancy

  • Use O92.12 for Cracked nipple associated with the puerperium

  • Use O92.13 for Cracked nipple associated with lactation

  • O92.2 for Other and unspecified disorders of breast associated with pregnancy and the puerperium

  • Use O92.20 for Unspecified disorder of breast associated with pregnancy and the puerperium

  • Use O92.29 for Other disorders of breast associated with pregnancy and the puerperium

  • Use O92.3 for Agalactia

  • Use O92.4 for Hypogalactia

  • Use O92.5 for Suppressed lactation

  • Use O92.6 for Galactorrhea

  • O92.7 for Other and unspecified disorders of lactation

  • Use O92.70 for Unspecified disorders of lactation

  • Use O92.79 for Other disorders of lactation

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to O92: its own notes plus those printed at block O85-O92 and Chapter 15. A note printed at a category, block or chapter applies to every code under it.

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • supervision of normal pregnancy (Z34.-)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Block O85-O92 Complications predominantly related to the puerperium applies to 114 codes
  • mental and behavioral disorders associated with the puerperium (F53.-)
  • obstetrical tetanus (A34)
  • puerperal osteomalacia (M83.0)
From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • 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

Add a second code, after this one, to fully describe the condition.

From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.

Notes

General instructions on how these codes are used.

From Chapter 15 (O00-O9A) Pregnancy, childbirth and the puerperium applies to 2,481 codes
  • 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

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name O92, its category, or a range that includes it.

Excludes1 2

These codes carry an Excludes1 note naming O92: they are not reported together with it, unless the two conditions are unrelated.

  • Z39.1 Encounter for care and examination of lactating mother
    disorders of lactation (O92.-)
  • Block N60-N65 Disorders of breast
    disorders of breast associated with childbirth (O91-O92) names O91-O92, which includes this code

Patient EducationClinical

Breast Diseases

Breast diseases include various conditions and changes in your breast. Most women experience breast changes at some time. Your age, hormone levels, and medicines you take may cause lumps, bumps, and discharges of fluids that are not breast milk.

The full article covers:

  • What are breast diseases?
  • What are the symptoms of breast disease?
  • How are breast diseases diagnosed?
  • What are the treatments for breast disease?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About O92Overview

Is O92 a billable code?

No. This is a category header that groups the codes for other disorders of breast and disorders of lactation associated with pregnancy and the puerperium, and headers cannot be submitted on claims. Claims for other disorders of breast and disorders of lactation associated with pregnancy and the puerperium need a more specific code from this category, such as O92.011, O92.012, and O92.013.