ICD-10-CM Billable Code

O92.3

Agalactia

Clinical Classification Guidelines

Inclusion Terms

  • Primary agalactia

Excludes Type 1

  • Elective agalactia (O92.5)
  • Secondary agalactia (O92.5)
  • Therapeutic agalactia (O92.5)

Medical Intelligence & Overview

Agalactia, classified under ICD-10 code O92.3, refers to the absence or significant decrease in milk production in a woman who is capable of breastfeeding. This condition can occur either as a primary issue, where the inability to produce milk is inherent, or secondary, due to other health factors. In this guide, we focus on primary agalactia, exploring its causes, symptoms, diagnosis, and general approaches to management.

Causes & Symptoms

Clinical Causes: Hormonal imbalances, especially related to prolactin or oxytocin deficiencies Congenital abnormalities of the mammary glands Genetic factors influencing breast tissue development Previous breast surgeries or trauma affecting milk production Certain medications that inhibit prolactin secretion or interfere with milk ejection Underlying medical conditions such as hormonal disorders or developmental anomalies

Key Symptoms: Absence of breast milk despite the presence of breast tissue Breasts appearing underdeveloped or not enlarging during pregnancy Lack of milk expression or secretion postpartum Potential discomfort or swelling in the breasts due to hormonal imbalances Absence of typical breastfeeding cues or behaviors

Diagnostic & Treatment

Diagnosis Path: Diagnosing primary agalactia involves a comprehensive medical evaluation, including:

Treatment Protocols: Managing primary agalactia centers around addressing the underlying hormonal or developmental issues. Approaches may include:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is O92.3 a billable ICD-10 code?
Yes, O92.3 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report O92.3?
Clinical documentation must specify the nature of Agalactia and any associated comorbidities for accurate reporting.

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