O91.11
O91.11: Abscess of breast associated with pregnancy
Non-billable headerICD-10-CM
O91.11 is a non-billable header ICD-10-CM code for abscess of breast associated with pregnancy. It cannot be billed on its own: choose one of the more specific child codes below.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Gestational mammary abscess
- Gestational purulent mastitis
- Gestational subareolar abscess
Other codes that can never be billed with O91.11
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.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead O91.11
4 child codes. Green means billable.