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Compare/F53 vs O92

F53 vs O92

F53 (Mental and behavioral disorders associated with the puerperium, not elsewhere classified) compared with O92 (Other disorders of breast and disorders of lactation associated with pregnancy and the puerperium), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. O92 carries an Excludes2 note covering F53: “mental and behavioral disorders associated with the puerperium (F53.-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

F53Mental and behavioral disorders associated with the puerperium, not elsewhere classifiedO92Other disorders of breast and disorders of lactation associated with pregnancy and the puerperium
Billing statusNon-billable header

Report instead: F53.0, F53.1

Non-billable header

Report instead: O92.011, O92.012, O92.013, O92.019, O92.02

ClassificationF01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99)O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)
DefinitionMental and behavioral disorders associated with the puerperium, not elsewhere classified is a non-billable ICD-10-CM category code (F53).Other disorders of breast and disorders of lactation associated with pregnancy and the puerperium is a non-billable ICD-10-CM category code (O92).

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources