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2025 ICD-10-CM code O92.12

Cracked nipple associated with the puerperium.

This code should be used on the maternal record only, not on the newborn record. An additional code from category Z3A, Weeks of gestation, should be used to identify the specific week of pregnancy if known.

Medical necessity for this code is established by the presence of cracked nipples causing pain and interfering with breastfeeding in the postpartum period.

Diagnosis and management of cracked nipples postpartum. This includes assessing the severity of the cracks, providing pain relief, recommending breastfeeding positions and latch techniques to minimize trauma, and advising on wound care.

IMPORTANT:O92.1, O92.11, O92.13

In simple words: Cracked nipples occurring after childbirth.

Cracked nipple associated with the puerperium. This condition occurs after childbirth and refers to fissures or cracks in the nipple skin.

Example 1: A patient presents two weeks postpartum with painful, cracked nipples. Upon examination, fissures are noted on both nipples. The patient is diagnosed with O92.12., A postpartum patient experiences severe nipple pain during breastfeeding. Examination reveals deep cracks with bleeding. The diagnosis is O92.12, and appropriate wound care and breastfeeding support are provided., During a routine postpartum checkup, a patient reports mild nipple soreness. On examination, superficial cracks are observed. The physician diagnoses O92.12 and advises on preventive measures and proper latch techniques.

Detailed description of the nipple condition, including location, depth, and presence of bleeding or infection. Documentation of associated symptoms such as pain and difficulty breastfeeding. Information on postpartum day and breastfeeding history.

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