Is O92 a billable ICD-10-CM code?

No. O92 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does O92 sit in the tabular list?

Pregnancy, childbirth and the puerperium (O00-O9A), in the block Complications predominantly related to the puerperium (O85-O92).

O92

O92 — Other disorders of breast and disorders of lactation associated with pregnancy and the puerperium

Non-billable headerICD-10-CM

O92 is a non-billable header ICD-10-CM code for other disorders of breast and disorders of lactation associated with pregnancy and the puerperium. It cannot be billed on its own: choose one of the more specific child codes below.

Other codes that can never be billed with O92

These codes carry an Excludes1 note pointing at O92. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O92 alone.

O92.3Agalactia
O92.5Suppressed lactation
Z39.1Encounter for care and examination of lactating mother

Risk adjustment

O92 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead O92

8 child codes. Green means billable.

Questions about O92

Is O92 a billable ICD-10-CM code?: No. O92 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does O92 sit in the tabular list?: Pregnancy, childbirth and the puerperium (O00-O9A), in the block Complications predominantly related to the puerperium (O85-O92).