2026 ICD-10-CM Diagnosis Code O92.03Retracted nipple associated with lactation

ICD-10-CM Codes›O00-O9A›O85-O92›O92

ICD-10-CM O92.03
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

O92.03 is a billable ICD-10-CM diagnosis code for retracted nipple associated with lactation. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is restricted by the Medicare Code Editor to maternity cases (age 9 through 64). Coders also document this condition as difficulty latching on to breast for feeding. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Complications specified during the puerperium and Nonmalignant breast conditions.

Code Identity

ICD-10-CM Code
O92.03
Billable Status
Yes — Valid for Submission
Code Describes
Retracted nipple associated with lactation
Short Description
Retracted nipple associated with lactation
Same as the full description in the CMS dataset.
Parent Code
O92.0
Retracted nipple associated with pregnancy, the puerperium, and lactation

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 CodeO92.03Retracted nipple associated with lactation

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O92.03.

Maternity diagnoses
The Medicare Code Editor detects inconsistencies in maternity cases by checking a patient's age and any diagnosis on the patient's record. The maternity code edits apply to patients age ange is 9–64 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Difficulty latching on to breast for feeding
  • Finding related to ability to latch on to breast for feeding
  • Retracted nipple associated with childbirth
  • Retracted nipple associated with childbirth with attachment difficulty
  • Retracted nipple in pregnancy, the puerperium or lactation
  • Retraction of nipple during lactation

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Lactation, lactating(breast) (puerperal, postpartum)
      • associated
        • retracted nipple
    • Retraction
      • nipple
        • associated with
          • lactation

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR PRG027
Complications specified during the puerperium
Default principal diagnosis: inpatient Yes · outpatient Yes
CCSR GEN017
Nonmalignant breast conditions
Default principal diagnosis: inpatient No · outpatient No

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.

Convert O92.03 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
676.02 Retract nipple-del w p/p
Approximate The match is approximate rather than exact.
ICD-9-CM
676.04 Retract nipple-postpart
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About O92.03Overview

Is O92.03 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report retracted nipple associated with lactation on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Who can O92.03 be reported for?

The Medicare Code Editor checks retracted nipple associated with lactation against patient demographics: this code is intended for maternity cases (age 9 through 64). Claims outside these limits are flagged as inconsistent.

What is the ICD-9 equivalent of O92.03?

Under the General Equivalence Mappings, retracted nipple associated with lactation converts to ICD-9-CM 676.02 (retract nipple-del w p/p) and 676.04 (retract nipple-postpart). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.