O92.13 Cracked nipple associated with lactation

Billable ICD-10-CM code, FY2026.

Applies from O92.1 Cracked nipple associated with pregnancy, the puerperium, and lactation

Applicable to

• Fissure of nipple, gestational or puerperal

MS-DRG index

Defines the logic of DRG(s) 769 in MDC 14.

Approximate ICD-9-CM (GEMs)

• 676.12 Cracked nipple associated with childbirth, delivered, with mention of postpartum complication (approximate)
• 676.14 Cracked nipple associated with childbirth, postpartum condition or complication (approximate)

Medicare Code Edits (MCE v43.1 (April 2026))

• Maternity diagnoses (age 9 through 64): Age conflict edit. These diagnoses are clinically expected only in patients age 9 through 64.

Code annotations containing back-references to O92.13

Back-references to O92

• Type 1 Excludes: Z39.1 Encounter for care and examination of lactating mother ("disorders of lactation (O92.-)")

Diagnosis Index entries for O92.13

• Cracked nipple › associated with › lactation
• Fissure, fissured › nipple › associated with › lactation
• Lactation, lactating (breast) (puerperal, postpartum) › associated › cracked nipple
• Puerperal, puerperium (complicated by, complications) › fissure, nipple › associated with lactation

Nearby codes

• O92.111 Cracked nipple associated with pregnancy, first trimester
• O92.112 Cracked nipple associated with pregnancy, second trimester
• O92.113 Cracked nipple associated with pregnancy, third trimester
• O92.119 Cracked nipple associated with pregnancy, unspecified trimester
• O92.12 Cracked nipple associated with the puerperium
• O92.13 Cracked nipple associated with lactation (this code)
• O92.2 Other and unspecified disorders of breast associated with pregnancy and the puerperium
• O92.20 Unspecified disorder of breast associated with pregnancy and the puerperium
• O92.29 Other disorders of breast associated with pregnancy and the puerperium
• O92.3 Agalactia
• O92.4 Hypogalactia