Accessory nipple
ICD-10 Q83.3 is a billable code used to indicate a diagnosis of accessory nipple.
Accessory nipple, also known as supernumerary nipple, is a congenital condition characterized by the presence of one or more additional nipples along the milk line, which extends from the axilla to the groin. This condition is often benign and may occur in isolation or as part of syndromic presentations. Accessory nipples can vary in size and may be mistaken for moles or other skin lesions. While they are typically asymptomatic, they can occasionally be associated with other congenital anomalies, particularly in syndromes such as Poland syndrome or Turner syndrome. Diagnosis is usually made through physical examination, and imaging is rarely required unless there are associated concerns. The condition is more common in males than females and can be hereditary. Although accessory nipples are generally not a cause for concern, they can lead to psychological distress for some patients due to cosmetic reasons. Treatment is usually not necessary unless the accessory nipple is symptomatic or the patient desires removal for aesthetic purposes.
Pediatric documentation should include growth and development assessments, family history, and any associated congenital conditions.
Common scenarios include routine pediatric examinations where accessory nipples are discovered incidentally.
Consideration should be given to the psychosocial impact on the child and family, especially if surgical intervention is being considered.
Genetic documentation should include family pedigree, any syndromic associations, and genetic testing results if applicable.
Scenarios may involve genetic counseling for families with a history of congenital anomalies.
Geneticists should assess for potential syndromic associations and recommend further evaluation if indicated.
Used when accessory nipple removal is performed for cosmetic reasons.
Document the reason for surgery and any associated conditions.
Surgeons should provide detailed operative notes to support the procedure.
Accessory nipples are generally benign but can be associated with psychological distress or syndromic conditions. They should be documented accurately to ensure appropriate coding and management.
