O92

Non-Billable
ChapterO00–O9A
Rankcategory
Official Description

Other disorders of breast and disorders of lactation associated with pregnancy and the puerperium

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 15: Pregnancy, Childbirth and the Puerperium (O00-O9A).

CH15 Parent Instructions

Excludes1(Not coded here. Use a different code.)
  • supervision of normal pregnancy (Z34.-)
Excludes2(Not included here. Code separately if applicable.)
  • mental and behavioral disorders associated with the puerperium (F53.-)
  • obstetrical tetanus (A34)
  • postpartum necrosis of pituitary gland (E23.0)
  • puerperal osteomalacia (M83.0)
Use Additional Code
  • code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.

O85-O92 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
  • mental and behavioral disorders associated with the puerperium (F53.-)
  • obstetrical tetanus (A34)
  • puerperal osteomalacia (M83.0)

Clinical Hierarchy

BillableHas subcodes
CH15Pregnancy, childbirth and the puerperium (O00-O9A)
O85-O92Complications predominantly related to the puerperium (O85-O92)
O92Other disorders of breast and disorders of lactation associated with pregnancy and the puerperiumNot billable
O92.0Retracted nipple associated with pregnancy, the puerperium, and lactationSubcodes
O92.1Cracked nipple associated with pregnancy, the puerperium, and lactationSubcodes
O92.2Other and unspecified disorders of breast associated with pregnancy and the puerperiumSubcodes
O92.3AgalactiaBillable
O92.4HypogalactiaBillable
O92.5Suppressed lactationBillable
O92.6GalactorrheaBillable
O92.7Other and unspecified disorders of lactationSubcodes

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to O92:

blockO85-O92
Complications predominantly related to the puerperium (O85-O92)
View context instructions
chapterCH15
Pregnancy, childbirth and the puerperium (O00-O9A)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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