N61.1
BillableAbscess of the breast and nipple
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
A collection of pus in the breast tissue, typically caused by infection. This condition presents with localized pain, swelling, and may require drainage or antibiotics.
Coding Tips
- •Confirm the presence of an abscess through imaging (ultrasound or MRI) before coding; clinical suspicion alone is insufficient
- •Document laterality and whether the abscess involves the breast tissue or nipple area
Code Hierarchy
└N61Inflammatory disorders of breast└N61.1Abscess of the breast and nipple
└N61.1Abscess of the breast and nipple