2026 ICD-10-CM Diagnosis Code O92.29Other disorders of breast associated with pregnancy and the puerperium

ICD-10-CM CodesO00-O9AO85-O92O92

ICD-10-CM O92.29
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

O92.29 is a billable ICD-10-CM diagnosis code for other disorders of breast associated with pregnancy and the puerperium. 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 breast lump in pregnancy. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Complications specified during the puerperium.

Code Identity

ICD-10-CM Code
O92.29
Billable Status
Yes — Valid for Submission
Code Describes
Other disorders of breast associated with pregnancy and the puerperium
Short Description
Oth disorders of breast assoc w pregnancy and the puerperium
Parent Code
Other and unspecified disorders of breast associated with pregnancy and 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 CodeO92.29Other disorders of breast associated with pregnancy and the puerperium

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O92.29.

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.

  • Breast lump in pregnancy
  • Vascular engorgement of breast

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.

    • Disorder(of)
      • breast
        • associated with
          • pregnancy
            • specified NEC
    • Disorder(of)
      • breast
        • associated with
          • puerperium
            • specified NEC
    • Induration, indurated
      • breast (fibrous)
        • puerperal, postpartum
    • Puerperal, puerperium(complicated by, complications)
      • disease
        • breast NEC
    • Puerperal, puerperium(complicated by, complications)
      • hypertrophy, breast
    • Puerperal, puerperium(complicated by, complications)
      • induration breast (fibrous)

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

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 O92.29 to ICD-9-CMHistory

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

ICD-9-CM
676.22 Breast engorge-del w p/p
Approximate The match is approximate rather than exact.
ICD-9-CM
676.32 Breast dis NEC-del w p/p
Approximate The match is approximate rather than exact.
ICD-9-CM
676.34 Breast dis NEC-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 O92.29Overview

Is O92.29 a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other disorders of breast associated with pregnancy and the puerperium on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Who can O92.29 be reported for?

The Medicare Code Editor checks other disorders of breast associated with pregnancy and the puerperium 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 O92.29?

Under the General Equivalence Mappings, other disorders of breast associated with pregnancy and the puerperium converts to ICD-9-CM 676.22 (breast engorge-del w p/p), 676.32 (breast dis NEC-del w p/p), and 676.34 (breast dis NEC-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.