2025 ICD-10-CM code O92.6
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Complications predominantly related to the puerperium - Other disorders of breast and disorders of lactation associated with childbirth Chapter 15: Pregnancy, childbirth and the puerperium Feed
Galactorrhea associated with childbirth.
Medical necessity for evaluating galactorrhea in the postpartum period is determined by the presence of symptoms (discomfort, tenderness, or significant leakage), duration of symptoms (persisting more than a few weeks after cessation of breastfeeding), and any evidence of underlying pathology. A thorough workup is justified to exclude serious conditions.
Obstetricians and gynecologists are primarily responsible for the diagnosis and management of postpartum galactorrhea.Depending on the underlying cause, endocrinologists or other specialists may be involved.
- Chapter 15: Pregnancy, childbirth and the puerperium
- O92 (Other disorders of breast and lactation associated with childbirth)
In simple words: The unexpected leaking of breast milk after childbirth, not related to breastfeeding.
Galactorrhea, the spontaneous flow of milk from the breasts, specifically as it relates to the period after childbirth (puerperium).This condition is characterized by the inappropriate secretion of milk, unrelated to nursing or suckling, potentially caused by hormonal imbalances or other underlying medical issues that occur postpartum.
Example 1: A 30-year-old woman, two weeks postpartum, presents with spontaneous milk leakage from her breasts, not associated with breastfeeding. She reports no pain or other symptoms.Physical exam reveals bilateral milky discharge.Further workup might include hormonal assays to rule out hyperprolactinemia., A 25-year-old woman, one month postpartum, reports continuous milky discharge from her breasts despite having stopped breastfeeding three weeks prior.She complains of discomfort and breast tenderness.A breast ultrasound may be performed to investigate the possibility of underlying pathology., A 35-year-old woman, six weeks postpartum, is concerned about persistent lactation despite the cessation of breastfeeding at four weeks postpartum.A complete hormonal panel is conducted to determine if there is a prolactin-secreting tumor or another hormonal disorder.
Complete obstetric history, including details of pregnancy, childbirth, and postpartum period.Detailed physical examination of the breasts, including palpation for masses and assessment of discharge.Hormonal profile, including prolactin levels and thyroid function tests, if clinically indicated.Imaging studies (ultrasound, mammography) if abnormalities are detected.
** The clinical significance of postpartum galactorrhea can range from benign to indicative of serious underlying conditions.Therefore, a comprehensive evaluation is crucial in every case.
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- Specialties:Obstetrics and Gynecology, Endocrinology
- Place of Service:Office, Hospital, Outpatient clinic