2025 ICD-10-CM code O92.7
Other and unspecified disorders of lactation associated with pregnancy and the puerperium.
Medical necessity should be demonstrated by documenting the specific lactation problem and its impact on the mother's or infant's well-being.
Diagnosis and management typically fall under the purview of obstetricians, gynecologists, or family practitioners specializing in maternal care. Lactation consultants may also play a crucial role.
- Chapter 15: Pregnancy, childbirth and the puerperium (O00-O9A)
- Complications predominantly related to the puerperium (O85-O92)
In simple words: This code represents other problems with breastfeeding or milk production that aren't specifically listed elsewhere, occurring during or after pregnancy.
This code encompasses lactation disorders not otherwise specified, arising during pregnancy or the puerperium. It includes conditions beyond specific diagnoses like agalactia, hypogalactia, suppressed lactation, or galactorrhea.
Example 1: A postpartum woman experiences painful breastfeeding without nipple cracking or other classifiable breast disorders. After other causes are ruled out, the physician diagnoses a non-specific lactation disorder., A mother has insufficient milk production despite adequate glandular tissue and normal prolactin levels, but without meeting the criteria for hypogalactia. This could be coded as an unspecified disorder of lactation., A nursing mother reports breast milk discoloration or unusual consistency, without infection or other identifiable etiology.In such cases, O92.7 might be applicable.
Thorough documentation should include the patient's history, physical exam findings (including breast and nipple assessment), lactation history, any diagnostic tests performed (e.g., milk culture, prolactin levels), and the rationale for the diagnosis.
** This code is intended for use on maternal records only, and should not be applied to newborn records. If more specific information becomes available, a more precise code should be used instead of O92.7.
- Payment Status: Active
- Specialties:Obstetrics and Gynecology, Family Medicine, Lactation Consulting
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Home, Birthing Center