Is O91.019 a billable ICD-10-CM code?

Yes. O91.019 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does O91.019 sit in the tabular list?

Pregnancy, childbirth and the puerperium (O00-O9A), in the block Complications predominantly related to the puerperium (O85-O92).

O91.019

O91.019 — Infection of nipple associated with pregnancy, unspecified trimester

Billable / specific codeICD-10-CM

O91.019 is a billable, specific ICD-10-CM code for infection of nipple associated with pregnancy, unspecified trimester. It is valid for submission on a claim.

Risk adjustment

O91.019 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Related codes at this level

Codes that share O91.01. If O91.019 is not quite right, the correct code is usually one of these.

O91.011Infection of nipple associated with pregnancy, first trimester
O91.012Infection of nipple associated with pregnancy, second trimester
O91.013Infection of nipple associated with pregnancy, third trimester

Questions about O91.019

Is O91.019 a billable ICD-10-CM code?: Yes. O91.019 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does O91.019 sit in the tabular list?: Pregnancy, childbirth and the puerperium (O00-O9A), in the block Complications predominantly related to the puerperium (O85-O92).