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ICD-10 Code O92.1: Cracked nipple associated with pregnancy, the puerperium, and lactation

O92.1 is an ICD-10 diagnosis entry used to group records related to Cracked nipple associated with pregnancy, the puerperium, and lactation. You may see this entry in coding references, medical records, or claims workflows when a broader diagnosis category is being reviewed before a more specific code is chosen. ICD-10 entries help standardize how diagnoses are organized for coding, reporting, analytics, and documentation. This code sits within the broader ICD-10 area for Pregnancy, childbirth and the puerperium (O00-O9A).

What is this code?

ICD-10 entries help standardize how diagnoses are organized for coding, reporting, analytics, and documentation. This code sits within the broader ICD-10 area for Pregnancy, childbirth and the puerperium (O00-O9A).

đź“‹Clinical overview

This ICD-10 code is commonly used when documentation describes a maternal breast or nipple disorder associated with pregnancy, the puerperium, or lactation. The most accurate code depends on whether the documented problem is retracted nipple, cracked nipple, another specified breast disorder, or an unspecified breast disorder, along with maternal timing and trimester detail when pregnancy-coded.

When is it used?

  • May be used when a clinician documents cracked nipple associated with pregnancy, the puerperium, and lactation in a patient's medical record.
  • May appear in hospital records, claims, referrals, and clinical documentation.
  • This code may act more like a grouping or parent code, so a more specific child code may be used in final documentation when available.

What it does not mean

  • A code alone does not explain severity, treatment plan, or outcome.
  • A medical code should not be treated as a substitute for a doctor's diagnosis or advice.
  • This entry may represent a broader category rather than the most specific billable code.

đź©şClinical context

When commonly used
  • Obstetric, postpartum, lactation-support, urgent-care, and follow-up documentation where maternal nipple or breast symptoms affect comfort, feeding tolerance, or recovery planning.
  • Coding and utilization-review workflows where the chart distinguishes retracted nipple, cracked nipple, and other maternal breast disorders and where pregnancy versus puerperium or lactation timing changes final code specificity.
Common management context
  • Maternal breast-disorder follow-up often includes breast and nipple symptom review, focused exam findings, feeding or pumping history, and coordination of obstetric or lactation-support follow-up.
  • Documentation usually becomes more specific when the chart identifies the exact nipple or breast disorder, trimester timing, postpartum context, lactation association, or related breast symptoms.
  • Specialist context already linked on this page includes Obstetrician, Gynecologist.

🔍Key distinctions

Important notes
  • This ICD-10 family captures noninfectious maternal breast and nipple disorders rather than the O91 breast-infection branch.
  • The distinction between retracted nipple, cracked nipple, and other specified or unspecified maternal breast disorders can change code selection inside this family.
  • Cracked nipple during pregnancy is coded separately from retracted nipple and from other maternal breast disorders because the documented nipple problem changes code specificity.
  • Puerperium-associated breast-disorder coding is separate from antepartum pregnancy timing because the postpartum recovery setting changes the maternal care context.
  • Lactation-associated breast-disorder context is distinct from antepartum pregnancy timing because active breastfeeding changes the maternal care setting and follow-up needs.
Related codes to consider
O92.12Cracked nipple associated with the puerperium
Related maternal breast-disorder ICD-10 code; documentation often becomes more specific when the chart identifies retracted versus cracked nipple, another breast disorder, trimester detail, or clearer pregnancy, puerperium, or lactation timing.
O92.13Cracked nipple associated with lactation
Related maternal breast-disorder ICD-10 code; documentation often becomes more specific when the chart identifies retracted versus cracked nipple, another breast disorder, trimester detail, or clearer pregnancy, puerperium, or lactation timing.

Code hierarchy

chapter
15Pregnancy, childbirth and the puerperium (O00-O9A)
block
O85-O92Complications predominantly related to the puerperium
category
O92Other disorders of breast and disorders of lactation associated with pregnancy and the puerperium
currentO92

Official coding notes

Inclusion terms
  • Fissure of nipple, gestational or puerperal

Where you may see this code

You may see this entry in coding references, medical records, or claims workflows when a broader diagnosis category is being reviewed before a more specific code is chosen.

Related specialists

ObstetricianGynecologist

Coding guidelines

Compatibility

Legacy code aligns to an official FY 2026 category. Frontend should resolve to the official category page and surface the billable child codes.
Legacy codes
O92.1
Replacement codes
O92.12 — Cracked nipple associated with the puerperiumO92.13 — Cracked nipple associated with lactation

Common synonyms

Cracked nipple associated with pregnancy, the puerperium, and lactation

Frequently asked questions

Code details

CodeO92.1
SystemICD10
Display nameCracked nipple associated with pregnancy, the puerperium, and lactation
ChapterPregnancy, childbirth and the puerperium (O00-O9A)
BlockComplications predominantly related to the puerperium

Flags

BillableNo
Valid clinical useNo

Source

SourceICD-10
Version2026-annual
Releaseannual
Year2026

About this content

This page is prepared by HealthAssure's clinical team using official coding standards from ICD-10. AI tools assist with drafting explanations, which are then reviewed and verified by healthcare professionals for accuracy. This content is for informational purposes and does not replace professional medical advice. Meet our team.