Cracked nipple associated with pregnancy, first trimester

This code signifies a fissure or break in the skin of the nipple occurring during the initial three months of gestation. It represents a painful dermatological condition that can complicate early pregnancy and potentially impact breastfeeding initiation.

Apply this code when documentation explicitly states a cracked or fissured nipple and confirms the patient is in her first trimester of pregnancy. Supporting documentation would include physician notes detailing the nipple condition and the gestational age.

• Ensure documentation specifies "first trimester" to accurately assign this code; otherwise, a different trimester-specific code or an unspecified trimester code would be appropriate.
• Do not confuse this with cracked nipples occurring postpartum or during lactation, which have distinct codes.
• Sequence this code as a secondary diagnosis when the primary reason for the encounter is related to the pregnancy itself, or as a primary diagnosis if the cracked nipple is the sole reason for the visit.