Re: need ICD9 code, please

[Guest guest]

See this document

http://www2.aap.org/breastfeeding/files/pdf/coding.pdf

for Commonly used ICD-9-CM codes for

infants and mother diagnoses

Breast & Nipple issues

Other specified nipple/breast anomaly 757.6

Other specified nipple/breast infection 675.84

Nipple infection

675.04

Nipple, cracks or

fissures 676.14

Nipple, sore 676.34

Retracted nipple, postpartum 676.04

Impetigo (staph), nipple 684

Candidiasis, nipple or breast 112.89

Judy

Judith

L. Gutowski, BA, IBCLC, RLC

135 McGrath Lane

P Box 1

Hannastown, PA 15635-0001

Cell

Phone

Fax

[Guest guest]

I see it as an infant feeding problem because baby has an incorrect suck causing sore nipples for the mother. And if he has to be at the breast for an hour to get enough milk to gain weight, then it is an infant feeding problem.

Try 676.34 which on my superbill is listed as nipple, sore.

Jan

Hello, Ladies.

I need a code to justify mother's need to pump. Baby had been gaining because mother let him stay at breast for an hour. She thought she had thrush, although repeated treatments had not relieved her pain. I was able to see that baby's incorrect suck was rubbing her nipples and causing them to be a bit raw and painful.

So, my superbill has no code for painful nipples.

It's not low supply, because baby has been gaining alright, but mom needs a break from the pain and I figure baby could use a break from the energy needed for long feedings.

It's not cracked/fissured nipples--nipples were pink and raw but no cracks.

Not thrush.

No contact dermatitis.

Insurance company won't accept Infant Feeding Problem as reason for mother to use a pump, because that's an infant dx, not an adult dx.

Does anyone know a number I can use that might yield some reimbursement for this mother?

Thanks!

Dee Kassing

[Guest guest]

Sorry to piggyback on this thread, but I'm wondering if you can confirm this for me. Are we as IBCLC's not supposed to use the code for Ankyloglossia, since we're not supposed to "diagnose"? Or is it ok to do so if we see it? And aren't all these ICD-9 codes in fact "diagnosis" codes? Thanks!

Stern CNM, IBCLCDurham, NCwww.beyondbirthlactation.com Beyond Birth on Facebook(919)381-8781

See this document http://www2.aap.org/breastfeeding/files/pdf/coding.pdffor Commonly used ICD-9-CM codes for

infants and mother diagnoses Breast & Nipple issuesOther specified nipple/breast anomaly 757.6Other specified nipple/breast infection 675.84Nipple infection

675.04Nipple, cracks or

fissures 676.14Nipple, sore 676.34Retracted nipple, postpartum 676.04Impetigo (staph), nipple 684Candidiasis, nipple or breast 112.89 JudyJudith

L. Gutowski, BA, IBCLC, RLC135 McGrath LaneP Box 1Hannastown, PA 15635-0001Cell

Phone Fax