O92.3 vs O92.5
O92.3 (Agalactia) compared with O92.5 (Suppressed lactation), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. O92.3 carries an Excludes1 note covering O92.5: “Elective agalactia (O92.5)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
No — do not report together. O92.3 carries an Excludes1 note covering O92.5: “Secondary agalactia (O92.5)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
No — do not report together. O92.3 carries an Excludes1 note covering O92.5: “Therapeutic agalactia (O92.5)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
No — do not report together. O92.5 carries an Excludes1 note covering O92.3: “primary agalactia (O92.3)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| O92.3Agalactia | O92.5Suppressed lactation | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A) | O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A) |
| Definition | Agalactia is a billable ICD-10-CM diagnosis code (O92.3). | Suppressed lactation is a billable ICD-10-CM diagnosis code (O92.5). |
| Includes | Primary agalactia | Elective agalactia Secondary agalactia Therapeutic agalactia |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources