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need ICD9 code, please

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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

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