Galactorrhea not associated with childbirth

This code represents the spontaneous or inappropriate discharge of milk-like fluid from the breast, unrelated to pregnancy, childbirth, or breastfeeding. It indicates a non-puerperal lactation that can affect both women and, less commonly, men. This condition often stems from hormonal imbalances, medication side effects, or underlying pituitary issues.

Apply this code when documentation clearly indicates galactorrhea occurring outside of the peripartum or lactational period. This includes cases where a patient presents with milky nipple discharge and is not currently pregnant or breastfeeding. Supporting documentation should rule out pregnancy and recent childbirth.

• Differentiate from physiological lactation during pregnancy or postpartum, which would be coded differently.
• Always look for and code any underlying cause of the galactorrhea, such as hyperprolactinemia (253.1) or pituitary adenoma (227.3), as a primary or secondary diagnosis.
• Do not use for discharge that is purulent, bloody, or serous, as these indicate other breast conditions.