O91.013
O91.013: Infection of nipple associated with pregnancy, third trimester
Billable / specific codeICD-10-CM
O91.013 is a billable, specific ICD-10-CM code for infection of nipple associated with pregnancy, third trimester. It is valid for submission on a claim.
Check O91.013 with the rest of the claim: free scrubberOther codes that can never be billed with O91.013
Their own Excludes1 notes name this code, so the conflict is not listed above.
- N61Inflammatory disorders of breast
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
O91.013 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56766Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures
Code history
Unchanged in every release from FY2024 to FY2027.