O92.20 is a billable diagnosis code used to specify a medical diagnosis of unspecified disorder of breast associated with pregnancy and the puerperium. The code O92.20 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code O92.20 might also be used to specify conditions or terms like disorder of breast associated with childbirth or obstetric disorders of breast and lactation.
The code O92.20 is applicable to female patients aged 12 through 55 years inclusive. It is clinically and virtually impossible to use this code on a non-female patient outside the stated age range.
Unspecified diagnosis codes like O92.20 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Entries in the Index to Diseases and Injuries with references to O92.20
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code O92.20 are found in the index:
The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Disorder of breast associated with childbirth
- Obstetric disorders of breast and lactation
Convert O92.20 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code O92.20 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
Most women experience breast changes at some time. Your age, hormone levels, and medicines you take may cause lumps, bumps, and discharges (fluids that are not breast milk).
If you have a breast lump, pain, discharge or skin irritation, see your health care provider. Minor and serious breast problems have similar symptoms. Although many women fear cancer, most breast problems are not cancer.
Some common breast changes are
- Fibrocystic breast changes - lumpiness, thickening and swelling, often just before a woman's period
- Cysts - fluid-filled lumps
- Fibroadenomas - solid, round, rubbery lumps that move easily when pushed, occurring most in younger women
- Intraductal papillomas - growths similar to warts near the nipple
- Blocked milk ducts
- Milk production when a woman is not breastfeeding
NIH: National Cancer Institute
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Health Problems in Pregnancy
Every pregnancy has some risk of problems. You may have problems because of a health condition you had before you got pregnant. You could also develop a condition during pregnancy. Other causes of problems during pregnancy can include being pregnant with more than one baby, a health problem in a previous pregnancy, drug use during pregnancy, or being over age 35. Any of these can affect your health, the health of your baby, or both.
If you have a chronic condition, you should talk to your health care provider about how to minimize your risk before you get pregnant. Once you are pregnant, you may need a health care team to monitor your pregnancy. Some common conditions that can complicate a pregnancy include
- High blood pressure
- Polycystic ovary syndrome
- Kidney problems
- Autoimmune disorders
Other conditions that can make pregnancy risky can happen while you are pregnant - for example, gestational diabetes and Rh incompatibility. Good prenatal care can help detect and treat them.
Some discomforts, like nausea, back pain, and fatigue, are common during pregnancy. Sometimes it is hard to know what is normal. Call your health care provider if something is bothering or worrying you.
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Taking home a new baby is one of the happiest times in a woman's life. But it also presents both physical and emotional challenges.
- Get as much rest as possible. You may find that all you can do is eat, sleep, and care for your baby. And that is perfectly okay. You will have spotting or bleeding, like a menstrual period, off and on for up to six weeks.
- You might also have swelling in your legs and feet, feel constipated, have menstrual-like cramping. Even if you are not breastfeeding, you can have milk leaking from your nipples, and your breasts might feel full, tender, or uncomfortable.
- Follow your doctor's instructions on how much activity, like climbing stairs or walking, you can do for the next few weeks.
- Doctors usually recommend that you abstain from sexual intercourse for four to six weeks after birth.
In addition to physical changes, you may feel sad or have the "baby blues." If you are extremely sad or are unable to care for yourself or your baby, you might have a serious condition called postpartum depression.
Dept. of Health and Human Services Office on Women's Health
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|ICD Code||Description||Valid for Submission|
|O92||Other disorders of breast and disorders of lactation associated with pregnancy and the puerperium||NON-BILLABLE CODE|
|O92.0||Retracted nipple associated with pregnancy, the puerperium, and lactation||NON-BILLABLE CODE|
|O92.01||Retracted nipple associated with pregnancy||NON-BILLABLE CODE|
|O92.011||Retracted nipple associated with pregnancy, first trimester||BILLABLE CODE|
|O92.012||Retracted nipple associated with pregnancy, second trimester||BILLABLE CODE|
|O92.013||Retracted nipple associated with pregnancy, third trimester||BILLABLE CODE|
|O92.019||Retracted nipple associated with pregnancy, unspecified trimester||BILLABLE CODE|
|O92.02||Retracted nipple associated with the puerperium||BILLABLE CODE|
|O92.03||Retracted nipple associated with lactation||BILLABLE CODE|
|O92.1||Cracked nipple associated with pregnancy, the puerperium, and lactation||NON-BILLABLE CODE|
|O92.11||Cracked nipple associated with pregnancy||NON-BILLABLE CODE|
|O92.111||Cracked nipple associated with pregnancy, first trimester||BILLABLE CODE|
|O92.112||Cracked nipple associated with pregnancy, second trimester||BILLABLE CODE|
|O92.113||Cracked nipple associated with pregnancy, third trimester||BILLABLE CODE|
|O92.119||Cracked nipple associated with pregnancy, unspecified trimester||BILLABLE CODE|
|O92.12||Cracked nipple associated with the puerperium||BILLABLE CODE|
|O92.13||Cracked nipple associated with lactation||BILLABLE CODE|
|O92.2||Other and unspecified disorders of breast associated with pregnancy and the puerperium||NON-BILLABLE CODE|
|O92.29||Other disorders of breast associated with pregnancy and the puerperium||BILLABLE CODE|
|O92.5||Suppressed lactation||BILLABLE CODE|
|O92.7||Other and unspecified disorders of lactation||NON-BILLABLE CODE|
|O92.70||Unspecified disorders of lactation||BILLABLE CODE|
|O92.79||Other disorders of lactation||BILLABLE CODE|