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2025 ICD-10-CM code O92.4

Hypogalactia, insufficient milk production after childbirth.

Codes from chapter O (Pregnancy, childbirth, and the puerperium) are only to be used on maternal records, never on newborn records.Use additional code from category Z3A (Weeks of gestation) if the week of gestation is known.

Medical necessity for managing hypogalactia is established when insufficient milk production impacts the infant's growth, development, or health.Treatment may aim to improve milk production to allow continued breastfeeding or, if breastfeeding is not possible, to support infant feeding with alternative methods.

Obstetricians and gynecologists, family physicians, lactation consultants, and other healthcare professionals involved in postpartum care may be responsible for the diagnosis, management, and treatment of hypogalactia.This may involve counseling, medication, or other interventions to support breastfeeding.

IMPORTANT:May be used in conjunction with codes from category Z3A (Weeks of gestation) to specify the week of pregnancy if known.Consider also O92.3 (Agalactia) for complete absence of milk production. Other related codes might include those specifying conditions affecting breastfeeding (e.g., nipple infections, mastitis).

In simple words: Hypogalactia means your body isn't making enough breast milk after having a baby. This can happen for different reasons, and it can affect how much milk you have, ranging from a little less to none at all. Doctors can help figure out the cause and find ways to help increase milk production.

Hypogalactia is a condition characterized by insufficient milk production in the postpartum period, resulting in inadequate milk supply for breastfeeding. This can be caused by various factors including hormonal imbalances, insufficient breast tissue development, previous breast surgery, medications, or underlying medical conditions.The severity of hypogalactia can vary, ranging from mildly reduced milk production to complete absence of milk. Diagnosis involves assessing milk production through various methods and investigating potential underlying causes.

Example 1: A postpartum patient presents with concerns about insufficient milk supply, impacting breastfeeding.She reports breastfeeding her newborn but noticing a significant decrease in milk production compared to the first few weeks after delivery. The baby also shows signs of inadequate feeding, such as infrequent urination or weight loss., A mother of twins presents with inadequate breast milk production to support both infants' needs. She has tried various techniques, including frequent breastfeeding and pumping, but milk production remains low. Her physician diagnoses hypogalactia and explores potential underlying causes such as hormonal imbalances or insufficient breast tissue., A patient underwent breast reduction surgery several years prior to her pregnancy. Postpartum, she experiences difficulty breastfeeding due to insufficient milk production. Her healthcare provider confirms the diagnosis of hypogalactia, related to the previous breast surgery and reduced breast tissue volume.

Thorough history of the patient's pregnancy and postpartum period, including details on breastfeeding attempts, infant's feeding patterns, weight changes, and maternal health.Objective assessment of breast milk production (e.g., weighing the baby before and after feeding, measuring milk output using a breast pump) is crucial.Laboratory tests might be indicated to evaluate hormonal levels or screen for underlying medical conditions.

** This code is for hypogalactia, insufficient milk production. It's distinct from agalactia (complete absence of milk production), which is coded separately. The cause of hypogalactia should be investigated and documented.

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