ICD-10-CM Code O92.13

Cracked nipple associated with lactation

Version 2020 Billable Code Maternity Diagnoses Diagnoses For Females Only

Valid for Submission

O92.13 is a billable code used to specify a medical diagnosis of cracked nipple associated with lactation. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code O92.13 might also be used to specify conditions or terms like cracked nipple associated with lactation, cracked nipple in pregnancy, the puerperium or lactation, cracked nipple in pregnancy, the puerperium or lactation, cracked nipple in pregnancy, the puerperium or lactation - delivered, cracked nipple in pregnancy, the puerperium or lactation - delivered with postnatal complication, cracked nipple in pregnancy, the puerperium or lactation with antenatal complication, etc

The code O92.13 is applicable to female patients aged 12 through 55 years inclusive. It is clinically and virtually impossible to use this code on a non-female patient outside the stated age range.

ICD-10:O92.13
Short Description:Cracked nipple associated with lactation
Long Description:Cracked nipple associated with lactation

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code O92.13 are found in the index:


Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Maternity diagnoses - Maternity. Age range is 12–55 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).
  • Diagnoses for females only - Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, this code applies to FEMALES only .

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Cracked nipple associated with lactation
  • Cracked nipple in pregnancy, the puerperium or lactation
  • Cracked nipple in pregnancy, the puerperium or lactation
  • Cracked nipple in pregnancy, the puerperium or lactation - delivered
  • Cracked nipple in pregnancy, the puerperium or lactation - delivered with postnatal complication
  • Cracked nipple in pregnancy, the puerperium or lactation with antenatal complication
  • Cracked nipple in pregnancy, the puerperium or lactation with postnatal complication

Convert O92.13 to ICD-9

  • 676.12 - Cracked nipple-del w p/p (Approximate Flag)
  • 676.14 - Cracked nipple-postpart (Approximate Flag)

Code Classification

  • Pregnancy, childbirth and the puerperium (O00–O99)
    • Complications predominantly related to the puerperium (O85-O92)
      • Oth disord of brst/lactatn assoc w pregnancy and the puerp (O92)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Breast Diseases

Most women experience breast changes at some time. Your age, hormone levels, and medicines you take may cause lumps, bumps, and discharges (fluids that are not breast milk).

If you have a breast lump, pain, discharge or skin irritation, see your health care provider. Minor and serious breast problems have similar symptoms. Although many women fear cancer, most breast problems are not cancer.

Some common breast changes are

  • Fibrocystic breast changes - lumpiness, thickening and swelling, often just before a woman's period
  • Cysts - fluid-filled lumps
  • Fibroadenomas - solid, round, rubbery lumps that move easily when pushed, occurring most in younger women
  • Intraductal papillomas - growths similar to warts near the nipple
  • Blocked milk ducts
  • Milk production when a woman is not breastfeeding

NIH: National Cancer Institute


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Breastfeeding

Breastfeeding offers many benefits to your baby. Breast milk contains the right balance of nutrients to help your infant grow into a strong and healthy toddler. Some of the nutrients in breast milk also help protect your infant against some common childhood illnesses and infections. It may also help your health. Certain types of cancer may occur less often in mothers who have breastfed their babies.

Women who don't have health problems should try to give their babies breast milk for at least the first six months of life. Most women with health problems can breastfeed. There are rare exceptions when women are advised not to breastfeed because they have certain illnesses. Some medicines, illegal drugs, and alcohol can also pass through the breast milk and cause harm to your baby. Check with your health care provider if you have concerns about whether you should breastfeed.

If you are having problems with breastfeeding, contact a lactation consultant.

NIH: National Institute of Child Health and Human Development


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