O91.13

Abscess of breast associated with lactation

Billable / specific

O91.13 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Applicable to

  • Mammary abscess associated with lactation
  • Purulent mastitis associated with lactation
  • Subareolar abscess associated with lactation

Includes (from O91)

  • Note: CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
  • Note: Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
  • Note: Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
  • Note: 1st trimester- less than 14 weeks 0 days
  • Note: 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
  • Note: 3rd trimester- 28 weeks 0 days until delivery

Excludes1

Not coded here — never report together with this code.

  • supervision of normal pregnancy (Z34.-) (from O91)

Excludes2

Not included here — may be reported together when both conditions exist.

  • mental and behavioral disorders associated with the puerperium (F53.-) (from O91)
  • obstetrical tetanus (A34) (from O91)
  • postpartum necrosis of pituitary gland (E23.0) (from O91)
  • puerperal osteomalacia (M83.0) (from O91)
  • mental and behavioral disorders associated with the puerperium (F53.-) (from O91)
  • obstetrical tetanus (A34) (from O91)
  • puerperal osteomalacia (M83.0) (from O91)

Use additional code

Add a code to identify the following, if applicable.

  • code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known. (from O91)
  • code to identify infection (from O91)

Also known as

  • Mammary abscess associated with lactation
  • Purulent mastitis associated with lactation
  • Subareolar abscess associated with lactation
  • Puerperal, puerperium, abscess, breast, associated with lactation
  • Puerperal, puerperium, abscess, mammary, associated with lactation
  • Puerperal, puerperium, abscess, subareolar, associated with lactation
  • Puerperal, puerperium, fistula, breast, associated with lactation
  • Puerperal, puerperium, mastitis, purulent, associated with lactation
  • Suppuration, suppurative, mammary gland, puerperal, postpartum, associated with lactation

Parent code

  • O91.1Abscess of breast associated with pregnancy, the puerperium and lactationHeader

Related codes

  • O91.11Abscess of breast associated with pregnancyHeader
  • O91.12Abscess of breast associated with the puerperiumBillable

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