HOPS Breastfeeding Codes

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HOPS Breastfeeding Codes Breastfeeding Codes MOTHER’S ISSUES ICD-10 MOTHER’S ISSUES ICD-10 Breast/Nipple Infection Retracted nipple associated with pregnancy, Infection of nipple associated with pregnancy, unspecified trimester . O92 .019 first trimester . O91 .011 Retracted nipple associated with the Infection of nipple associated with pregnancy, puerperium . O92 .02 second trimester . .. O91 .012 Retracted nipple associated with lactation . O92 .03 Infection of nipple associated with pregnancy, third trimester . O91 .013 Cracked Nipple Infection of nipple associated with pregnancy, Cracked nipple associated with pregnancy, unspecified trimester . O91 .013 first trimester . O92 111. Infection of nipple associated with the Cracked nipple associated with pregnancy, puerperium . O91 .02 second trimester . .. O92 112. Infection of nipple associated with lactation . O91 .03 Cracked nipple associated with pregnancy, third trimester . O92 113. Nipple Abscess/Breast Abscess Cracked nipple associated with pregnancy, Infection of nipple associated with pregnancy, unspecified trimester . O92 119. first trimester . O91 111. Cracked nipple associated with the Infection of nipple associated with pregnancy, puerperium . O92 12. second trimester . O91 112. Cracked nipple associated with lactation . O92 13. Infection of nipple associated with pregnancy, third trimester . O91 113. Breast Engorgement Infection of nipple associated with pregnancy, See other disorders of lactation . O92 .79 unspecified trimester . O91 119. Disorder of Breast, other and unspecified Abscess associated with the puerperium . O91 12. Unspecified disorder of breast associated Abscess associated with lactation . O91 13. with pregnancy and the puerperium . O92 .20 Mastitis NOS Agalactia (failure of lactation) Nonpurulent mastitis associated with pregnancy, Agalactia . .. O92 .3 first trimester . O91 .211 Nonpurulent mastitis associated with pregnancy, New code second trimester . .. O91 .212 Hypogalactia . O92 .4 Nonpurulent mastitis associated with pregnancy, Suppressed Lactation third trimester . O91 .213 Suppressed lactation . O92 .5 Nonpurulent mastitis associated with pregnancy, unspecified trimester . O91 .219 Galactorrhea Nonpurulent mastitis associated with the Galactorrhea . O92 .6 puerperium . O91 .22 Galactocle (or other disorders of lactation) Nonpurulent mastitis associated with lactation . O91 .23 See other disorders of lactation O92 .79 Retracted Nipple Unspecified disorder of lactation Retracted nipple associated with pregnancy, Unspecified disorders of lactation . O92 .70 first trimester . O92 .011 Other disorders of lactation Retracted nipple associated with pregnancy, (puerperal galactocele, engorgement) . O92 .79 second trimester . O92 .012 Retracted nipple associated with pregnancy, Postpartum Care; Lactating Mother Supervision third trimester . O92 .013 Encounter of care and examination of lactating mother . Z39 1. CONTINUED Breastfeeding Codes, continued BABY’S ISSUES ICD-10 Failure to Thrive, newborn <28 days WHEN DO I USE UNSPECIFIED VERSUS OTHER? Failure to thrive in newborn . P92 .6 If you know what the diagnosis is, but there is not a New code: code description that is applicable, select the other Failure to thrive (child) . R62 .51 code. If you are unsure of the diagnosis, select the unspecified code. Change in Bowel Habits Change in bowel habit . R19 .4 Weight Loss Abnormal weight loss . R63 .4 Jaundice, neonatal Neonatal jaundice from other specified causes . P59 .8 Neonatal jaundice, unspecified . P59 .9 ***Additional neonatal jaundice codes available; consult the current ICD-10 book for codes relating to hemolysis, preterm delivery, hepatocellular damage, and breast milk inhibitor. Slow feeding, newborn <28 days (Feeding Problems) Slow feeding of newborn . P92 .2 New codes: Underfeeding of a newborn . P92 .3 Overfeeding of a newborn . P92 .4 Neonatal difficulty in feeding at breast . P92 .5 Other feeding problems of newborn . P92 .8 Feeding problem of newborn, unspecified . P92 .9 Colic; infantifle, nos Colic . R10 .83 Fussy Baby Excessive crying of infant (baby) . R68 11. Fussy baby . R68 12. Vomiting, infant >28 days Vomiting, unspecified . R11 .10 Vomiting without nausea . R11 11. Projectile vomiting . R11 12. Vomiting of fecal matter . R11 132. Bilious vomiting . R11 14. Vomiting, newborn <28 days Bilious vomiting of newborn . P92 .01 Other vomiting of newborn . .. P92 .09 New code: Regurgitation and rumination of newborn . P92 1. Dehydration, neonatal Dehydration of newborn . P74 1. HOP16060929.
Recommended publications
  • Breastfeeding Complications (Women) 2001.04
    05/2015 602 Breastfeeding Complications or Potential Complications (Women) Definition/Cut-off Value A breastfeeding woman with any of the following complications or potential complications for breastfeeding: Complications (or Potential Complications) Severe breast engorgement Cracked, bleeding or severely sore nipples Recurrent plugged ducts Age ≥ 40 years Mastitis (fever or flu-like symptoms with localized Failure of milk to come in by 4 days postpartum breast tenderness) Tandem nursing (breastfeeding two siblings who are Flat or inverted nipples not twins) Participant Category and Priority Level Category Priority Pregnant Women 1 Breastfeeding Women 1 Justification Severe breast engorgement Severe breast engorgement is often caused by infrequent nursing and/or ineffective removal of milk. This severe breast congestion causes the nipple-areola area to become flattened and tense, making it difficult for the baby to latch-on correctly. The result can be sore, damaged nipples and poor milk transfer during feeding attempts. This ultimately results in diminished milk supply. When the infant is unable to latch-on or nurse effectively, alternative methods of milk expression are necessary, such as using an electric breast pump. Recurrent plugged ducts A clogged duct is a temporary back-up of milk that occurs when one or more of the lobes of the breast do not drain well. This usually results from incomplete emptying of milk. Counseling on feeding frequency or method or advising against wearing an overly tight bra or clothing can assist. Mastitis Mastitis is a breast infection that causes a flu-like illness accompanied by an inflamed, painful area of the breast - putting both the health of the mother and successful breastfeeding at risk.
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  • Spectrum of Benign Breast Diseases in Females- a 10 Years Study
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  • Clinical and Imaging Evaluation of Nipple Discharge
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  • Cracked Nipples
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  • FAQ026 -- Benign Breast Problems and Conditions
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  • Breast Concerns
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  • Breast Infection
    Breast infection Definition A breast infection is an infection in the tissue of the breast. Alternative Names Mastitis; Infection - breast tissue; Breast abscess Causes Breast infections are usually caused by a common bacteria found on normal skin (Staphylococcus aureus). The bacteria enter through a break or crack in the skin, usually the nipple. The infection takes place in the parenchymal (fatty) tissue of the breast and causes swelling. This swelling pushes on the milk ducts. The result is pain and swelling of the infected breast. Breast infections usually occur in women who are breast-feeding. Breast infections that are not related to breast-feeding must be distinguished from a rare form of breast cancer. Symptoms z Breast pain z Breast lump z Breast enlargement on one side only z Swelling, tenderness, redness, and warmth in breast tissue z Nipple discharge (may contain pus) z Nipple sensation changes z Itching z Tender or enlarged lymph nodes in armpit on the same side z Fever Exams and Tests In women who are not breast-feeding, testing may include mammography or breast biopsy. Otherwise, tests are usually not necessary. Treatment Self-care may include applying moist heat to the infected breast tissue for 15 to 20 minutes four times a day. Antibiotic medications are usually very effective in treating a breast infection. You are encouraged to continue to breast-feed or to pump to relieve breast engorgement (from milk production) while receiving treatment. Outlook (Prognosis) The condition usually clears quickly with antibiotic therapy. Possible Complications In severe infections, an abscess may develop. Abscesses require more extensive treatment, including surgery to drain the area.
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  • Benign Breast Diseases1
    BENIGN BREAST DISEASES PROFFESOR.S.FLORET NORMAL STRUCTURE DEVELOPMENTAL/CONGENITAL • Polythelia • Polymastia • Athelia • Amastia ‐ poland syndrome • Nipple inversion • Nipple retraction • NON‐BREAST DISORDERS • Tietze disease • Sebaceous cyst & other skin disorders. • Monder’s disease BENIGN DISEASE OF BREAST • Fibroadenoma • Fibroadenosis‐ ANDI • Duct ectasia • Periductal papilloma • Infective conditions‐ Mastitis ‐ Breast abscess ‐ Antibioma ‐ Retromammary abscess Trauma –fat necrosis. NIPPLE INVERSION • Congenital abnormality • 20% of women • Bilateral • Creates problem during breast feeding • Cosmetic surgery does not yield normal protuberant nipple. NIPPLE INVERSION NIPPLE RETRACTION • Nipple retraction is a secondary phenomenon due to • Duct ectasia‐ bilateral nipple retarction. • Past surgery • Carcinoma‐ short history,unilateral,palpable mass. NIPPLE RETRACTION ABERRATIONS OF NORMAL DEVELOPMENT AND INVOLUTION (ANDI) • Breast : Physiological dynamic structure. ‐ changes seen throught the life. • They are ‐ developmental & involutional ‐ cyclical & associated with pregnancy and lactation. • The above changes are described under ANDI. PATHOLOGY • The five basic pathological features are: • Cyst formation • Adenosis:increase in glandular issue • Fibrosis • Epitheliosis:proliferation of epithelium lining the ducts & acini. • Papillomatosis:formation of papillomas due to extensive epithelial hyperplasia. ANDI & CARCINOMA • NO RISK: • Mild hyperplasia • Duct ectasia. • SLIGHT INCREASED RISK(1.5‐2TIMES): • Moderate hyperplasia • Papilloma
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