Is O92.013 a billable ICD-10-CM code?

Yes. O92.013 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does O92.013 sit in the tabular list?

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

O92.013

O92.013 — Retracted nipple associated with pregnancy, third trimester

Billable / specific codeICD-10-CM

O92.013 is a billable, specific ICD-10-CM code for retracted nipple associated with pregnancy, third trimester. It is valid for submission on a claim.

Risk adjustment

O92.013 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.

Related codes at this level

Codes that share O92.01. If O92.013 is not quite right, the correct code is usually one of these.

O92.011Retracted nipple associated with pregnancy, first trimester
O92.012Retracted nipple associated with pregnancy, second trimester
O92.019Retracted nipple associated with pregnancy, unspecified trimester

Questions about O92.013

Is O92.013 a billable ICD-10-CM code?: Yes. O92.013 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does O92.013 sit in the tabular list?: Pregnancy, childbirth and the puerperium (O00-O9A), in the block Complications predominantly related to the puerperium (O85-O92).