Absent nipple
ICD-10 Q83.2 is a billable code used to indicate a diagnosis of absent nipple.
Absent nipple (Q83.2) is a congenital condition characterized by the complete absence of one or both nipples. This malformation can occur as an isolated anomaly or as part of a syndrome involving other congenital defects. The absence of nipples may be associated with other breast tissue abnormalities, such as hypoplasia or aplasia of breast tissue. In pediatric patients, this condition can lead to psychosocial issues as the child grows, particularly during puberty when body image becomes a significant concern. The etiology of absent nipples can be multifactorial, including genetic predispositions and environmental factors during fetal development. It is essential for healthcare providers to conduct a thorough clinical evaluation to determine if the absent nipple is part of a broader syndrome, such as Poland syndrome, which may include chest wall deformities and limb anomalies. Accurate coding requires careful documentation of associated conditions and any genetic counseling provided to the family.
Pediatric documentation should include growth and development assessments, psychosocial evaluations, and any associated congenital anomalies.
Common scenarios include evaluation of absent nipple during routine pediatric examinations or referrals for breast tissue abnormalities.
Consideration of the child's age and developmental stage is crucial for accurate coding and management.
Genetic documentation should include family history, genetic testing results, and any syndromic associations identified.
Scenarios may involve genetic counseling for families with a history of congenital anomalies or syndromes.
Genetic implications of absent nipple should be discussed, particularly if part of a syndromic presentation.
Used in cases where surgical intervention is required for breast anomalies.
Document the indication for surgery and any associated conditions.
Considerations for pediatric patients may differ from adults.
Documentation should include the presence of any associated anomalies, family history of congenital conditions, and any psychosocial assessments conducted.
