Information for Providers

Patient Education Handouts

Position Statements / Policies

The American Academy of Family Physicians

The American Academy of Pediatrics

The American College of Nurse-Midwives

The American Congress of Obstetricians and Gynecologists

Academy of Nutrition and Dietetics

The Association of Women's Health, Obstetric, and Neonatal Nurses

The National Association of Pediatric Nurses Practitioners

The National Association of Pediatric Nurses Practitioners - NAPNAP Position Statement on Breastfeeding (PDF)

The World Health Organization


For more detailed information about coding for breastfeeding management, please consult the AAP pamphlet Breastfeeding and Lactation: The Primary Care Pediatricianís Guide to Getting Paid.

The information below is modified with permission from the AAP Breastfeeding and Lactation: The Pediatricianís Pocket Guide to Coding.

Commonly used ICD-9-CM Codes Related to Breastfeeding

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BABYICD-9-CM Codes
Feeding Problems
Feeding problems or vomiting, newborn779.3
Feeding problem, infant (>28 days)783.3
Vomiting, infant (>28 days)787.03
Jaundice
Breastmilk jaundice774.39
Neonatal jaundice774.6
Pretem jaundice774.2
Weight and Hydration
Dehydration, neonatal775.5
Weight loss783.21
Underweight783.22
Slow weight gain, failure to thrive783.41
Rapid weight gain783.1
Infant Distress
Fussy baby780.91
Excessive crying780.92
Infantile colic or intestinal distress789.07
Gastrointestinal Issues
Change in bowel habits787.99
Abnormal stools787.7
Diarrhea787.91
Mouth
Ankyloglossia750.0
High-arched palate750.26

Billing for the Infantís Mother

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The medical provider may bill for the mother if s/he takes the motherís history, examines the motherís breasts and nipples, observes a feeding and makes a diagnosis and treatment plan for her.

The motherís insurance may require a request from her primary health care provider. The mother may be billed as either a new patient visit or a consult (99241-99245) if you have a request and provide a written report back to the requestor.

MOTHERICD-9 Code
Breast Issues
Abscess, breast675.14
Blocked milk duct675.24
Breast engorgement, ductal676.24
Burning pains, hyperesthesia782.0
Ectopic or axillary breast tissue757.6
Galactocele676.84
Mastitis, infective675.14
Mastitis, interstitial675.24
Other specified nipple, breast anomaly757.6
Other specified nipple, breast infection675.84
Nipple
Burning pains, hyperesthesia782.0
Nipple infection675.04
Nipple, cracks or fissures676.14
Nipple, sore676.34
Retracted nipple, postpartum676.04
Impetigo (staph), nipple684
Candidiasis, nipple or breast112.89
Lactation
Agalactia, failure to lactate676.44
Lactation, delayed676.84
Lactation, suppressed676.54
Other specified disorders of lactation676.84
Supervision of lactationV24.1
Other specified follow-up exam
(when original reason for visit has resolved)
V67.59

Provider Letter for Employers

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P.O. Box 29214, Washington, DC 20017 • Tel 202-470-2732 • email info@dcbfc.org

Medical Disclaimer: The information presented here is not intended to diagnose health problems, breastfeeding problems, or to take the place of professional medical care. If you have persistent breastfeeding problems, or if you have further questions, please consult your health care provider. The DC Breastfeeding Coalition does not share partnership with, or have any vested interest in, any of the businesses that may appear on this site, or sites that may be accessible by links herein contained.
Last Updated: April 2017