Non-Billable / Non-Specific Code
ICD-10-CM O91.11 is the diagnosis code for Abscess of breast associated with pregnancy. This code falls under the section "Complications predominantly related to the puerperium" within Chapter 15 — Pregnancy, childbirth and the puerperium (O00-O9A). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
Understanding where O91.11 sits in the ICD-10-CM classification helps ensure proper coding:
No, O91.11 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.
O91.11 is the ICD-10-CM diagnosis code for "Abscess of breast associated with pregnancy". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of O91.11 is O91.1 ("Abscess of breast associated with pregnancy, the puerperium and lactation"). O91.11 provides a more specific classification within this category.
O91.11 is located in Section O85-O92 — "Complications predominantly related to the puerperium" within Chapter 15 of the ICD-10-CM Tabular List.
O91.11 has 4 sub-code(s) that provide more specific detail: O91.111, O91.112, O91.113, O91.119.
Use O91.11 when the patients documented diagnosis matches "Abscess of breast associated with pregnancy" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Abscess of breast associated with pregnancy is O91.11.
No, O91.11 is non-billable. Use a more specific sub-code for primary diagnosis billing.
O91.11 is in Chapter 15 of the ICD-10-CM Tabular List.
Yes, O91.11 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.