2026 ICD-10-CM Diagnosis Code O92.3Agalactia

ICD-10-CM Codes›O00-O9A›O85-O92›O92

ICD-10-CM O92.3
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

O92.3 is a billable ICD-10-CM diagnosis code for agalactia. 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 failure of lactation. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Complications specified during the puerperium.

Code Identity

ICD-10-CM Code
O92.3
Billable Status
Yes — Valid for Submission
Code Describes
Agalactia
Short Description
Agalactia
Same as the full description in the CMS dataset.
Parent Code
O92
Other disorders of breast and disorders of lactation 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 CodeO92.3Agalactia

Code EditsBilling

Medicare Code Editor checks that affect claim validity for O92.3.

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.

  • Failure of lactation
  • Failure of lactation with attachment difficulty

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Primary agalactia

Type 1 Excludes

  • Elective agalactia O92.5
  • Secondary agalactia O92.5
  • Therapeutic agalactia O92.5

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.

    • Agalactia(primary)
    • Failure, failed
      • lactation (complete)
    • Lactation, lactating(breast) (puerperal, postpartum)
      • failed (complete)
    • Puerperal, puerperium(complicated by, complications)
      • failure
        • lactation (complete)

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

Breastfeeding

Breastfeeding offers many benefits to your baby. Breast milk contains the right balance of nutrients to help your infant grow into a strong and healthy toddler. Some of the nutrients in breast milk also help protect your infant against some common childhood illnesses and infections. It may also help your health.

Read the full article at MedlinePlus

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

Convert O92.3 to ICD-9-CMHistory

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

ICD-9-CM
676.42 Lactation fail-del w p/p
Approximate The match is approximate rather than exact.
ICD-9-CM
676.44 Lactation fail-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 O92.3Overview

Is O92.3 a billable code?

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

Who can O92.3 be reported for?

The Medicare Code Editor checks agalactia 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 O92.3?

Under the General Equivalence Mappings, agalactia converts to ICD-9-CM 676.42 (lactation fail-del w p/p) and 676.44 (lactation fail-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.