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O91.113

Billable

Abscess of breast associated with pregnancy, third trimester

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 that develops during the third trimester of pregnancy, causing infection and inflammation.

Coding Tips

  • Confirm the trimester is specifically the third trimester (weeks 28+); if trimester is unknown, use O91.119 instead
  • This code indicates an infected abscess, not just inflammation; ensure clinical documentation supports purulent infection

Code Hierarchy

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