Skip to content
HCC Buddy home

O91.12

Billable

Abscess of breast associated with the puerperium

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 occurs after delivery, typically within the first few weeks postpartum.

Coding Tips

  • •The puerperium period extends from delivery through approximately 6 weeks postpartum; confirm timing in documentation
  • •Distinguish from lactation-related abscess (O91.13) which occurs during breastfeeding beyond the immediate postpartum period

Code Hierarchy

└O91Infections of breast associated with pregnancy, the puerperium and lactation└O91.1Abscess of breast associated with pregnancy, the puerperium and lactation└O91.12Abscess of breast associated with the puerperium
└O91.12Abscess of breast associated with the puerperium

Open O91.12 in the Interactive Encoder

See full code details, AI coding tips, HCC mappings, and related codes in our interactive encoder. Start your 14-day Pro trial — no credit card required.

Open in EncoderStart 14-Day Pro Trial