O91.119 — Abscess of breast associated with pregnancy, unspecified trimester
Is O91.119 billable?
Yes, but O91.119 is an unspecified code. O91.119 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, O91.119 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting O91.119 — the more specific alternatives are listed below.
O91.119 at a glance
| Code | O91.119 |
|---|---|
| Description | Abscess of breast associated with pregnancy, unspecified trimester |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does O91.119 group to?
O91.119 sits in MDC 14 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 817Other Antepartum Diagnoses with O.R. Procedures with MCCsurgical
- 818Other Antepartum Diagnoses with O.R. Procedures with CCsurgical
- 819Other Antepartum Diagnoses with O.R. Procedures without CC/MCCsurgical
How is O91.119 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under O91.11, the nearest indexed parent of O91.119. Use them to find the family, then select the specific code.
- Abscess › gestational mammary (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic)
- Abscess › gestational subareolar (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple) (pernicious) (pyogenic) (septic)
- Gestational › mammary abscess
- Gestational › purulent mastitis
- Gestational › subareolar abscess
- Pregnancy › complicated by › abscess or cellulitis › breast (single) (uterine)
- Mastitis › obstetric › purulent › associated with › pregnancy (acute) (diffuse) (nonpuerperal) (subacute)
Excludes1 — never code together — inherited from Chapter 15
The conditions below can never be reported together with O91.119 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- supervision of normal pregnancy (Z34.-)
Use additional code — inherited from Chapter 15
Report an additional code alongside O91.119 to fully describe the condition. O91.119 is sequenced first.
- code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
Use additional code — inherited from O91
Report an additional code alongside O91.119 to fully describe the condition. O91.119 is sequenced first.
- code to identify infection
Excludes2 — not included here — inherited from Chapter 15
The conditions below are not part of O91.119, but a patient may have both at the same time. When documentation supports it, O91.119 and the excluded code may both be reported.
Excludes2 — not included here — inherited from O85-O92
The conditions below are not part of O91.119, but a patient may have both at the same time. When documentation supports it, O91.119 and the excluded code may both be reported.
How long has O91.119 existed?
O91.119 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.