O92.012
O92.012 — Retracted nipple associated with pregnancy, second trimester
Billable / specific codeICD-10-CM
O92.012 is a billable, specific ICD-10-CM code for retracted nipple associated with pregnancy, second trimester. It is valid for submission on a claim.
Other codes that can never be billed with O92.012
These codes carry an Excludes1 note pointing at O92.012. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O92.012 alone.
- Z39.1Encounter for care and examination of lactating mother
Risk adjustment
O92.012 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 history
O92.012 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share O92.01. If O92.012 is not quite right, the correct code is usually one of these.
Questions about O92.012
- Is O92.012 a billable ICD-10-CM code?
- Yes. O92.012 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does O92.012 sit in the tabular list?
- Pregnancy, childbirth and the puerperium (O00-O9A), in the block Complications predominantly related to the puerperium (O85-O92).