O91.212
O91.212: Nonpurulent mastitis associated with pregnancy, second trimester
Billable / specific codeICD-10-CM
O91.212 is a billable, specific ICD-10-CM code for nonpurulent mastitis associated with pregnancy, second trimester. It is valid for submission on a claim.
Check O91.212 with the rest of the claim: free scrubberOther codes that can never be billed with O91.212
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
O91.212 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56587Billing and Coding: Cosmetic and Reconstructive Surgery
- A58573Billing and Coding: Cosmetic and Reconstructive Surgery
- A58774Billing and Coding: Cosmetic and Reconstructive Surgery
- A59299Billing and Coding: Cosmetic and Reconstructive Surgery
Code history
Unchanged in every release from FY2024 to FY2027.