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O91.213

Billable

Nonpurulent mastitis 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

Inflammation of breast tissue without pus formation that occurs during the third trimester of pregnancy.

Coding Tips

  • Third trimester begins at week 28 and continues through delivery; verify timing in documentation
  • If abscess develops instead of simple inflammation, use O91.113 instead

Code Hierarchy

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