HomeMy WebLinkAbouticd-10-codes-breastfeedingThe American College of Obstetricians and Gynecologists
WOMEN’S HEALTH CARE PHYSICIANSBreastfeeding Coding
for Obstetrician–Gynecologists 2016
The codes represented in this chart
with an * require a 6th digit to
specify trimester. The guidelines for
6th-digit requirements for this code
set are as follows: 1 (first trimester),
2 (second trimester), 3 (third trimes-
ter), or 9 (unspecified trimester).
The codes represented in this chart
with an ^ require an additional digit
as indicated with the dash (-). The
guidelines for 7th-digit requirements
for this code set are as follows:
A (Initial Encounter), D (Subsequent
Encounter), or S (Sequela).
If a feeding problem exists that
requires the physician to spend an
additional amount of time address-
ing the problem, the following codes
are appropriate. This would include
the obstetrician–gynecologist or
other health care provider taking
the woman’s history, examining her
breasts and nipples, observing a
feeding, and making a diagnosis and
treatment plan for the woman:
99201-99205
Office or other
outpatient visit
for the evalua-
tion and man-
agement of a
new patient
99212-99215
Office or other
outpatient visit
for the evalua-
tion and man-
agement of an
established
patient
ICD-10 Code Breastfeeding Condition
O91.03 Infection of nipple associated with lactation
O91.13 Abscess of breast associated with lactation
O91.23 Nonpurulent mastitis associated with lactation
O92.03 Retracted nipple associated with lactation
O92.13 Cracked nipple associated with lactation
O92.5 Suppressed lactation
O92.70 Unspecified disorders of lactation
O92.79 Other disorders of lactation
*O91.01-Infection of nipple associated with pregnancy
*O91.11-Abscess of breast associated with pregnancy
*O91.21-Nonpurulent mastitis associated with pregnancy
*O92.01-Retracted nipple associated with pregnancy
*O92.11-Cracked nipple associated with pregnancy
O92.20 Unspecified disorder of breast associated with pregnancy and the
puerperium
O92.29 Other disorders of breast associated with pregnancy and the puerperium
O91.219 Nonpurulent mastitis associated with pregnancy, unspecified trimester
O91.22 Nonpurulent mastitis associated with the puerperium
^S20.121-Blister (nonthermal) of breast, right breast
^S20.122-Blister (nonthermal) of breast, left breast
B37.89 Candidiasis, breast or nipple
L01.00 Impetigo, unspecified
O91.02 Infection of nipple associated with the puerperium
Q83.8 Other congenital malformations of breast (ectopic or axillary breast tissue)
R20.3 Hyperesthesia (burning)
O92.3 Agalactia
O92.4 Hypogalactia
O92.5 Suppressed lactation
O92.6 Galactorrhea
O92.70 Unspecified disorders of lactation
O92.79 Galactocele (other disorders of lactation)
Z39.1 Encounter for care and examination of lactating woman (excludes encoun-ter for conditions related to O92.-)
Commonly Used Codes for Breastfeeding
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