O92.013 Retracted nipple associated with pregnancy, third trimester

Name of the Condition

• Retracted nipple associated with pregnancy, third trimester
• ICD-10 Code: O92.013

Summary

Retracted nipple associated with pregnancy, third trimester refers to the inward turning or inversion of the nipple that occurs specifically during the third trimester of pregnancy. This condition may result from hormonal or structural changes in breast tissue and is often temporary. It should be evaluated to rule out underlying issues, though it is frequently benign.

Causes

Retracted nipples in the third trimester can arise from hormonal fluctuations affecting breast tissue elasticity, increased breast size, or changes in the ductal system. The condition may also be a preexisting nipple inversion exacerbated by pregnancy-related adaptations.

Risk Factors

• Preexisting nipple inversion or retraction
• Hormonal sensitivity during pregnancy
• Significant breast size changes
• Previous breast surgery or trauma

Symptoms

• Inward turning of the nipple
• Possible difficulty with breastfeeding
• Asymmetry between nipples
• No associated pain or discharge unless complicated

Diagnosis

Diagnosis is typically made through a physical examination by a healthcare provider, assessing the nipple’s position and any associated symptoms. No specialized tests are usually required unless other concerns are present.

Treatment Options

• Monitoring for changes or complications
• Guidance on breastfeeding techniques if needed
• Referral to a specialist if retraction persists or worsens

Prognosis and Follow-Up

The prognosis is generally favorable, as retraction often resolves after pregnancy or delivery. Follow-up may be recommended to ensure the condition does not indicate an underlying issue, especially if breastfeeding difficulties arise.

Complications

• Persistent nipple retraction affecting breastfeeding
• Secondary infection or irritation from repeated trauma
• Underlying breast pathology if retraction is new or worsening

Lifestyle & Prevention

• Use proper breastfeeding techniques to minimize nipple trauma
• Wear well-fitting, supportive bras to reduce irritation
• Avoid excessive manipulation of the nipple area

When to Seek Professional Help

Seek care if retraction is new, painful, associated with discharge, or interferes with breastfeeding. A healthcare provider can evaluate for underlying causes or complications.

Tips for Medical Coders

Document the trimester (third trimester) and any associated symptoms or complications. Ensure the code O92.013 is used when the retraction is specifically linked to pregnancy in the third trimester. Include details about breastfeeding impact or physical exam findings if relevant.