O91.1 – Abscess of breast associated with pregnancy, the puerperium and lactation

ICD-10-CM 2027 diagnosis code · Complications predominantly related to the puerperium

Non-billable header

ICD-10-CM code O91.1

Code: O91.1 (claims format: O911)
Description: Abscess of breast associated with pregnancy, the puerperium and lactation
Short description: Abscess of breast assoc w pregnancy, the puerp and lactation
Billable: No – use a more specific code below
Valid for: Dates of service October 1, 2026 – September 30, 2027 (FY2027)
Chapter: 15. Pregnancy, childbirth and the puerperium (O00-O9A)
Block: O85-O92 Complications predominantly related to the puerperium
Parent codes: O91

Billable codes under O91.1

O91.1 is a header code and cannot be used on claims. Choose the most specific code:

O91.11 – Abscess of breast associated with pregnancyHeader (more codes below)
O91.12 – Abscess of breast associated with the puerperiumBillable
O91.13 – Abscess of breast associated with lactationBillable

Notes inherited from parent codes

Instructional notes at a category or block level apply to every code below it.

O91 – Infections of breast associated with pregnancy, the puerperium and lactation

Use additional code:

code to identify infection

Block O85-O92

Excludes2 (not included here):

mental and behavioral disorders associated with the puerperium (F53.-)
obstetrical tetanus (A34)
puerperal osteomalacia (M83.0)

Related codes in O91

Frequently asked questions

What is ICD-10 code O91.1?

O91.1 is the ICD-10-CM code for abscess of breast associated with pregnancy, the puerperium and lactation, in the block O85-O92 (Complications predominantly related to the puerperium).

Is O91.1 a billable code?

No. O91.1 is a header code with more specific child codes; report one of the billable codes listed above.

What category does O91.1 belong to?

It belongs to category O91 – Infections of breast associated with pregnancy, the puerperium and lactation.

Source: CDC/NCHS ICD-10-CM FY2027 code files, tabular list and index. Reference only – code assignment must follow the official ICD-10-CM guidelines and documentation in the medical record.