Is O91.219 a billable ICD-10-CM code?

Yes. O91.219 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does O91.219 sit in the tabular list?

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

O91.219

O91.219 — Nonpurulent mastitis associated with pregnancy, unspecified trimester

Billable / specific codeICD-10-CM

O91.219 is a billable, specific ICD-10-CM code for nonpurulent mastitis associated with pregnancy, unspecified trimester. It is valid for submission on a claim.

Risk adjustment

O91.219 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 O91.21. If O91.219 is not quite right, the correct code is usually one of these.

O91.211Nonpurulent mastitis associated with pregnancy, first trimester
O91.212Nonpurulent mastitis associated with pregnancy, second trimester
O91.213Nonpurulent mastitis associated with pregnancy, third trimester

Questions about O91.219

Is O91.219 a billable ICD-10-CM code?: Yes. O91.219 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does O91.219 sit in the tabular list?: Pregnancy, childbirth and the puerperium (O00-O9A), in the block Complications predominantly related to the puerperium (O85-O92).