2025 ICD-10-CM code O92.0
Retracted nipple associated with pregnancy, the puerperium, and lactation.
Medical necessity is established by the impact of the retracted nipple on breastfeeding or associated complications like pain or mastitis.
The physician is responsible for diagnosing the retracted nipple and advising on appropriate management, which may include breastfeeding support, techniques to help the nipple protrude, or referral to a lactation consultant.
- Chapter 15: Pregnancy, childbirth and the puerperium (O00-O9A)
- O92: Other disorders of breast and disorders of lactation associated with pregnancy and the puerperium
In simple words: A retracted nipple, where the nipple pulls inwards instead of pointing out, can occur during or after pregnancy and while breastfeeding.
This code describes a condition where the nipple inverts or retracts, making breastfeeding difficult or impossible.It is specifically associated with pregnancy, the period after childbirth (puerperium), and lactation.
Example 1: A woman in her third trimester presents with inverted nipples.She is concerned about her ability to breastfeed.The physician diagnoses her with O92.0., A postpartum woman experiences difficulty breastfeeding due to one nipple retracting. The physician documents the condition as O92.0, along with Z3A.- (Weeks of gestation) to specify postpartum status., A lactating mother presents with pain and difficulty latching, caused by a retracted nipple.She is diagnosed with O92.0 and referred to a lactation consultant.
Documentation should include a description of the nipple retraction, the impact on breastfeeding (if applicable), and any associated symptoms like pain or difficulty latching.
** This code does not cover cracked nipples (O92.1) or other breast disorders (O92.2).
- Specialties:Obstetrics, Gynecology, Family Medicine, Lactation Consulting
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Birthing Center