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O91.13

Billable

Abscess of breast associated with lactation

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 breastfeeding, often caused by milk duct obstruction or bacterial infection.

Coding Tips

  • •This code applies to abscess occurring during active lactation, which may extend beyond the puerperium period
  • •Ensure documentation indicates the patient is breastfeeding or lactating at the time of abscess development

Code Hierarchy

└O91Infections of breast associated with pregnancy, the puerperium and lactation└O91.1Abscess of breast associated with pregnancy, the puerperium and lactation└O91.13Abscess of breast associated with lactation
└O91.13Abscess of breast associated with lactation

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