O92.112 Cracked nipple associated with pregnancy, second trimester

ICD10CM code

#### Name of the Condition
- Cracked nipple associated with pregnancy, second trimester
- ICD-10 Code: O92.112

#### Summary
Cracked nipples in the context of pregnancy refer to painful splits or fissures on the nipples occurring during the second trimester. This condition is relatively common among pregnant women and can lead to discomfort, irritation, or potential complications if not addressed.

#### Causes
Cracked nipples during pregnancy may be caused by hormonal changes, increased breast size and sensitivity, improper bra fitting, or friction from clothing. The skin changes during pregnancy can also contribute to increased dryness and sensitivity leading to cracks.

#### Risk Factors
- Existing dry skin or eczema
- Wearing non-supportive or inappropriate bras
- Increased breast size during pregnancy
- Preexisting history of nipple conditions

#### Symptoms
- Painful or tender nipples
- Visible cracks or splits on the nipple surface
- Possible mild bleeding or scabbing
- Increased sensitivity or discomfort

#### Diagnosis
Diagnosis is primarily based on a physical examination by a healthcare provider, considering the symptoms and current stage of pregnancy. No specific tests are typically required.

#### Treatment Options
- Topical moisturizers or lanolin creams to hydrate and protect the area.
- Warm compresses to relieve pain and promote healing.
- Corrective measures like choosing well-fitted, supportive maternity bras.
- Gentle cleansing with mild soap and water to avoid infection.

#### Prognosis and Follow-Up
With proper care and attention, cracked nipples during the second trimester often heal without long-term issues. Regular follow-ups with healthcare providers ensure the condition is managed well and does not lead to complications.

#### Complications
- Increased risk of infection, such as mastitis, if the skin breaks are not kept clean and moisturized.
- Persistent pain that may impact daily activities or future breastfeeding.

#### Lifestyle & Prevention
- Maintain good hygiene and moisturize nipples regularly.
- Wear comfortable, well-fitting bras.
- Avoid irritants such as harsh soaps or tight clothing.
- Use nipple shields if recommended by a healthcare provider.

#### When to Seek Professional Help
- Persistent pain or worsening symptoms
- Signs of infection, such as redness, warmth, or pus
- Difficulty performing daily activities due to nipple pain

#### Additional Resources
- La Leche League International for breastfeeding support
- American Academy of Pediatrics for guidance on pregnancy-related breast care
- National Women's Health Network for information on pregnancy-related conditions

#### Tips for Medical Coders
- Ensure accurate documentation of the patient's trimester and symptoms to select the correct ICD code.
- Verify details in the medical record to avoid errors in trimester specification.
- Be mindful of distinguishing conditions associated with breastfeeding versus pregnancy.

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