What O92 covers · when clinicians use it
ICD-10 code O92 identifies Other disorders of breast and disorders of lactation associated with pregnancy and the puerperium in the U.S. ICD-10-CM clinical and billing record set. It sits within the ICD-10-CM diagnosis classification, the section that groups related diagnoses so providers, payers, and public-health agencies report them consistently. Clinicians and medical coders apply O92 when an encounter's findings match the Other disorders of breast and disorders of lactation associated with pregnancy and the puerperium description, attaching it to the patient record so downstream insurance claims, payer audits, quality reporting, and epidemiological surveillance all reference the same standardized diagnosis. The ICD-10-CM is maintained by the Centers for Medicare & Medicaid Services and the CDC's National Center for Health Statistics, with an updated official code set released each U.S. fiscal year — always verify O92 against the current CMS/CDC release and your payer's documentation guidance before final use. This page summarizes documentation context for O92 and is a coding reference, not clinical, diagnostic, or billing advice.
O92 refers to Other disorders of breast and disorders of lactation associated with pregnancy and the puerperium, addressing various infections, venous issues, embolisms, lactation disorders, anesthesia-related problems, and other complications that can occur in the postpartum period (the puerperium).
Symptoms
- Fever and uterine tenderness – Signs of puerperal sepsis (O85)
- Swelling, pain, or redness in legs – Suggestive of venous thrombosis (O87)
- Shortness of breath – Possible obstetric embolism (O88)
- Breast pain and redness – Indicating mastitis (O91)
- Difficulty breastfeeding or nipple trauma – Seen in lactation disorders (O92)
Diagnosis
Diagnosis of Other disorders of breast and disorders of lactation associated with pregnancy and the puerperium involves postpartum clinical assessments, blood cultures, imaging (e.g., Doppler ultrasound for venous complications), chest X-ray for suspected embolism, breast examination, laboratory testing, and symptom review to catch complications early.
ICD10 Code Usage
ICD10 code O92 is crucial for obstetricians, postpartum care providers, and maternal health specialists to accurately document postpartum complications, direct appropriate treatment, and prevent long-term morbidity in new mothers.
Related Codes
- O85 – Puerperal sepsis
- O86 – Other puerperal infections
- O87 – Venous complications and hemorrhoids in the puerperium
- O88 – Obstetric embolism
- O89 – Complications of anesthesia during the puerperium
- O90 – Complications of the puerperium, not elsewhere classified
- O91 – Infections of breast associated with pregnancy, the puerperium and lactation
FAQs
Q1: What is ICD10 code O92?
A: It refers to Other disorders of breast and disorders of lactation associated with pregnancy and the puerperium, covering infections, thromboembolic events, anesthesia complications, and lactation disorders occurring after childbirth.
Q2: How serious is puerperal sepsis (O85)?
A: It can be life-threatening if untreated, leading to sepsis, multi-organ failure, and maternal death, especially in resource-limited settings.
Q3: What causes obstetric embolism (O88)?
A: It may result from amniotic fluid embolism, air embolism, or thromboembolism during or after delivery.
Q4: How are breastfeeding-related infections (O91) managed?
A: Treatment typically involves antibiotics, continued breastfeeding or pumping, pain management, and supportive care.
Q5: What are anesthesia complications in the puerperium (O89)?
A: They include headache (post-dural puncture), infection at epidural site, or nerve damage following regional anesthesia during childbirth.
Conclusion
ICD10 code O92 ensures comprehensive documentation of Other disorders of breast and disorders of lactation associated with pregnancy and the puerperium, supporting prompt management of postpartum complications and promoting safer maternal recovery after childbirth.