2026 ICD-10-CM Diagnosis Code O92.113Cracked nipple associated with pregnancy, third trimester

ICD-10-CM Codes›O00-O9A›O85-O92›O92

ICD-10-CM O92.113
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

O92.113 is a billable ICD-10-CM diagnosis code for cracked nipple associated with pregnancy, third trimester. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 817 through 819, 831 through 833. The code is restricted by the Medicare Code Editor to maternity cases (age 9 through 64). In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified complications in pregnancy.

Code Identity

ICD-10-CM Code
O92.113
Billable Status
Yes — Valid for Submission
Code Describes
Cracked nipple associated with pregnancy, third trimester
Short Description
Cracked nipple associated with pregnancy, third trimester
Same as the full description in the CMS dataset.
Parent Code
O92.11
Cracked nipple associated with pregnancy

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 CodeO92.113Cracked nipple associated with pregnancy, third trimester

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O92.113.

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).

Clinical ClassificationClinical

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

CCSR PRG028
Other specified complications in pregnancy
Default principal diagnosis: inpatient Yes · outpatient Yes

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 O92.113 to ICD-9-CMHistory

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

ICD-9-CM
676.11 Cracked nipple-delivered
Approximate The match is approximate rather than exact.
ICD-9-CM
676.13 Cracked nipple-antepart
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 O92.113Overview

Is O92.113 (Cracked nipple associated with pregnancy) a billable code?

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

What MS-DRG does O92.113 group to?

When cracked nipple associated with pregnancy, third trimester is the principal diagnosis on an inpatient stay, it groups to MS-DRG 817, 818, 819, 831, 832, 833, with relative weights from 0.5229 to 1.6880 depending on complications. Higher weights mean higher Medicare reimbursement.

Who can O92.113 be reported for?

The Medicare Code Editor checks cracked nipple associated with pregnancy, third trimester 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 O92.113?

Under the General Equivalence Mappings, cracked nipple associated with pregnancy, third trimester converts to ICD-9-CM 676.11 (cracked nipple-delivered) and 676.13 (cracked nipple-antepart). 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.