Billing for the Infant's Mother

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Billing for the Infant’s Mother The medical provider may bill for the mother if s/he takes the mother’s history, examines the mother’s breasts and nipples, observes a feeding and makes a diagnosis and treatment plan for her. The mother’s insurance may require a request from her primary health care provider. The mother may be billed as either a new patient visit or a consult (99241-99245) if you have a request and provide a written report back to the requestor. MOTHER ICD-10 Code Breast & Nipple Issues Candidiasis, breast or nipple B37.89 Impetigo, unspecified L01.00 Infection of nipple associated with the puerperium O91.02 Infection of nipple associated with lactation O91.03 Abscess of breast associated with lactation/Mastitis purulent O91.13 Nonpurulent mastitis associated with lactation O91.23 Retracted nipple associated with lactation O92.03 Cracked nipple associated with lactation O92.13 Other congenital malformations of breast (ectopic or axillary breast tissue) Q83.8 R20.3 Hyperesthesia (burning) R20.3 Constitutional Circadian rhythm sleep disorder, irregular sleep wake type G47.23 Sleep disorder, unspecified G47.9 Fatigue R53.83 Lactation Agalactia O92.3 Hypogalactia O92.4 Suppressed lactation O92.5 Galactorrhea O92.6 Unspecified disorders of lactation O92.70 Galactocele (Other disorders of lactation) O92.79 Encounter for care and examination of lactating mother Z39.1 (Excludes encounter for conditions related to O92.-) Other Encounter for follow-up examination after completed treatment Z09 (When the original reason for visit has resolved) ^Do not use any codes listed under the mother for the baby’s medical record For more detailed information about coding for breastfeeding management, please consult the American Academy of Pediatrics’ Supporting Breastfeeding and Lactation: The Primary Care Pediatrician’s Guide to Getting Paid .

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Spectrum of Benign Breast Diseases in Females- a 10 Years Study
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