Fissure and fistula of nipple
ICD-10 N64.0 is a billable code used to indicate a diagnosis of fissure and fistula of nipple.
Fissures and fistulas of the nipple are conditions that can arise due to various factors, including trauma, infection, or underlying benign breast diseases. A fissure is a small tear or crack in the nipple, often resulting from breastfeeding or irritation, while a fistula is an abnormal connection between the nipple and surrounding tissues or ducts, which may develop due to chronic inflammation or infection. These conditions can lead to pain, discomfort, and potential complications such as secondary infections. Patients may present with symptoms such as nipple discharge, tenderness, or visible cracks. Diagnosis typically involves a thorough clinical examination, and imaging studies may be warranted to assess for underlying issues, especially in the presence of discharge or lumps. Management may include conservative measures such as topical treatments or, in more severe cases, surgical intervention. Understanding the etiology and associated conditions is crucial for accurate coding and treatment planning.
Detailed clinical notes on the examination findings, imaging results, and treatment plans.
Patients presenting with nipple pain, discharge, or visible fissures.
Ensure to document any surgical interventions or follow-up care.
Comprehensive history of breastfeeding, any trauma, and associated symptoms.
Postpartum patients experiencing nipple fissures due to breastfeeding.
Document the duration and severity of symptoms to support the diagnosis.
Used when surgical intervention is required for severe cases of nipple fissures or fistulas.
Document the indication for surgery and any preoperative assessments.
Breast surgeons should ensure comprehensive documentation of the surgical procedure and postoperative care.
Common causes include breastfeeding, trauma, infections, and chronic irritation. Proper assessment is essential to determine the underlying cause.
A fissure is a superficial crack, while a fistula is an abnormal connection that may involve deeper tissues. Clinical examination and imaging can help differentiate.
