Retracted nipple associated with the puerperium

This code signifies a condition where the nipple is inverted or pulled inward, specifically occurring during the puerperium (the period immediately following childbirth). This retraction can affect breastfeeding and may be a new finding or an exacerbation of a pre-existing condition during this postpartum phase.

Use this code when documentation clearly indicates a retracted nipple that developed or became problematic in the postpartum period. This applies to situations where the retraction is causing symptoms, interfering with lactation, or requires medical attention during the puerperal stage.

• Ensure documentation specifies the "puerperium" to differentiate from other causes of retracted nipples.
• Do not use this code for congenital or non-puerperal acquired retracted nipples; refer to codes in chapter N64 for those instances.
• Consider sequencing this code as a secondary diagnosis if the primary reason for the encounter is a related complication of pregnancy, childbirth, or the puerperium.