O92.5
O92.5: Suppressed lactation
Billable / specific codeICD-10-CM
O92.5 is a billable, specific ICD-10-CM code for suppressed lactation. It is valid for submission on a claim.
Check O92.5 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- primary agalactia (O92.3)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Elective agalactia
- Secondary agalactia
- Therapeutic agalactia
Other codes that can never be billed with O92.5
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Alphabetic index entries that lead here
- Agalactia›elective, secondary or therapeutic
- Suppression›lactation
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under O92
- O92.0Retracted nipple associated with pregnancy, the puerperium, and lactation
- O92.1Cracked nipple associated with pregnancy, the puerperium, and lactation
- O92.2Other and unspecified disorders of breast associated with pregnancy and the puerperium
- O92.3Agalactia
- O92.4Hypogalactia
- O92.6Galactorrhea
- O92.7Other and unspecified disorders of lactation