2024 ICD-10-CM Diagnosis Code O91.1
Abscess of breast associated with pregnancy, the puerperium and lactation
- ICD-10-CM Code:
- O91.1
- ICD-10 Code for:
- Abscess of breast assoc w pregnancy, the puerp and lactation
- Is Billable?
- Not Valid for Submission
- Code Navigator:
O91.1 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of abscess of breast associated with pregnancy, the puerperium and lactation. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Specific Coding Applicable to Abscess of breast assoc w pregnancy, the puerp and lactation
Non-specific codes like O91.1 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for abscess of breast assoc w pregnancy, the puerp and lactation:
O91.11 for Abscess of breast associated with pregnancy - NON-BILLABLE CODE
Use O91.111 for Abscess of breast associated with pregnancy, first trimester - BILLABLE CODE
Use O91.112 for Abscess of breast associated with pregnancy, second trimester - BILLABLE CODE
Use O91.113 for Abscess of breast associated with pregnancy, third trimester - BILLABLE CODE
Use O91.119 for Abscess of breast associated with pregnancy, unspecified trimester - BILLABLE CODE
Use O91.12 for Abscess of breast associated with the puerperium - BILLABLE CODE
Use O91.13 for Abscess of breast associated with lactation - BILLABLE CODE
Patient Education
Abscess
An abscess is a pocket of pus. You can get an abscess almost anywhere in your body. When an area of your body becomes infected, your body's immune system tries to fight the infection. White blood cells go to the infected area, collect within the damaged tissue, and cause inflammation. During this process, pus forms. Pus is a mixture of living and dead white blood cells, germs, and dead tissue.
Bacteria, viruses, parasites and swallowed objects can all lead to abscesses. Skin abscesses are easy to detect. They are red, raised and painful. Abscesses inside your body may not be obvious and can damage organs, including the brain, lungs and others. Treatments include drainage and antibiotics.
[Learn More in MedlinePlus]
Breast Diseases
Most women experience breast changes at some time. Your age, hormone levels, and medicines you take may cause lumps, bumps, and discharges (fluids that are not breast milk).
If you have a breast lump, pain, discharge or skin irritation, see your health care provider. Minor and serious breast problems have similar symptoms. Although many women fear cancer, most breast problems are not cancer.
Some common breast changes are:
- Fibrocystic breast changes - lumpiness, thickening and swelling, often just before a woman's period
- Cysts - fluid-filled lumps
- Fibroadenomas - solid, round, rubbery lumps that move easily when pushed, occurring most in younger women
- Intraductal papillomas - growths similar to warts near the nipple
- Blocked milk ducts
- Milk production when a woman is not breastfeeding
NIH: National Cancer Institute
[Learn More in MedlinePlus]
Code History
- FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
- FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
- FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.