2026 ICD-10-CM Diagnosis Code O92.5Suppressed lactation
ICD-10-CM Codes›O00-O9A›O85-O92›O92
- Billable — Valid for Submission
- Not Chronic
O92.5 is a billable ICD-10-CM diagnosis code for suppressed 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 galactischia. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Complications specified during the puerperium.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for O92.5.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Galactischia
- Suppressed lactation
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Inclusion Terms
- Elective agalactia
- Secondary agalactia
- Therapeutic agalactia
Type 1 Excludes
- primary agalactia O92.3
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- elective, secondary or therapeutic - O92.5
- lactation - O92.5
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Agalactia(primary)
- elective, secondary or therapeutic
- Suppression
- lactation
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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 O92.5 to ICD-9-CMHistory
Code HistoryHistory
Questions About O92.5Overview
Is O92.5 a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report suppressed lactation on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
Who can O92.5 be reported for?
The Medicare Code Editor checks suppressed 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 O92.5?
Under the General Equivalence Mappings, suppressed lactation converts to ICD-9-CM 676.52 (suppr lactat-del w p/p) and 676.54 (suppr lactation-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.
