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O92.7 ICD-10-CM Code: Other and unspecified disorders of lactation

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FY 2026 Apr update / Pregnancy, childbirth and the puerperium (O00-O9A) / Complications predominantly related to the puerperium (O85-O92)

O92.7

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Other and unspecified disorders of lactation

Other and unspecified disorders of lactation

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
O92Other disorders of breast and disorders of lactation associated with pregnancy and the puerperium
O92.7Other and unspecified disorders of lactation

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for O92.7 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for O92.7 in this effective period.

Related Child Codes

Official
O92.70Unspecified disorders of lactation
O92.79Other disorders of lactation

Includes

Official

ICD-10-CM does not list Includes notes for O92.7 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for O92.7 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for O92.7 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for O92.7 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for O92.7 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

O92.7 is the ICD-10-CM diagnosis code for other and unspecified disorders of lactation. O92.7 sits in the ICD-10-CM chapter for pregnancy, childbirth and the puerperium (o00-o9a), within the section covering complications predominantly related to the puerperium (o85-o92).

Header codes like O92.7 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at O92.7's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for O92.7 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

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