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Home/Diagnosis/ICD-10 Coding for Breast Abscess

ICD-10 Coding for Breast Abscess

N61.1
O91.13

Complete ICD-10-CM coding and documentation guide for icd-10 coding for breast abscess includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Mammary Abscess
Lactational Abscess
Puerperal Breast Abscess
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Key Information: ICD-10 Coding for Breast Abscess

Essential facts and insights about ICD-10 Coding for Breast Abscess

Use ICD-10 code N61.1 for abscess of breast and nipple, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Abscess of breast and nipple

Billable Code
N61.1
Billable

Diagnostic Criteria

clinical:
  • • Absence of lactational or puerperal context

Applicable To

  • • Non-puerperal breast abscess

Important Notes

  • • Ensure documentation specifies non-lactational context.

Abscess of breast associated with lactation

Billable Code
O91.13
Billable

Diagnostic Criteria

clinical:
  • • Documentation of lactation or postpartum status
  • • Ultrasound or clinical confirmation of abscess

Applicable To

  • • Lactational breast abscess

Important Notes

  • • Ensure lactational context is clearly documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

L03.3

Cellulitis of trunk

Use to document associated cellulitis.

Z39.0x

Encounter for care and examination of mother immediately after delivery

Use to document postpartum care context.

Frequently Asked Questions

What is the ICD-10 code for a breast abscess?

The ICD-10 code for a non-puerperal breast abscess is N61.1, while O91.13 is used for lactational breast abscesses.

How do you code a lactational breast abscess?

For a lactational breast abscess, use ICD-10 code O91.13, and include additional codes for cellulitis and postpartum care if applicable.

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