What is the ICD-10 code for breast abscess with erythema nodosum?

The ICD-10 code for a breast abscess associated with lactation is O91.13, and for puerperium is O91.12. Erythema nodosum is coded as L52.

How do you document a breast abscess in a lactating patient?

Document the lactation status, confirm the abscess via imaging, and note any secondary conditions like erythema nodosum.

ICD-10 Coding for Breast Abscess with Erythema Nodosum(O91.13, B95.6, B96.21)

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Learn about the ICD-10 coding for breast abscess with erythema nodosum, including documentation requirements and common coding pitfalls.

Also known as:

Absceso de mama con eritema nodosoBreast infection with erythema nodosum

Related ICD-10 Code Ranges

Complete code families applicable to Breast Abscess with Erythema Nodosum

O00-O9APrimary Range

Pregnancy, childbirth and the puerperium

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
O91.13	Abscess of breast associated with lactation	Use when the abscess occurs in a lactating patient up to 6 months postpartum.	Ultrasound confirmation of abscess Documentation of lactation status
O91.12	Abscess of breast associated with the puerperium	Use when the abscess occurs in a non-lactating postpartum patient within 42 days.	Ultrasound confirmation of abscess Documentation of puerperium status
L52	Erythema nodosum	Use when erythema nodosum is present as a secondary condition.	Biopsy confirming erythema nodosum Documentation of concurrent conditions

Primary ICD-10-CM Codes

Abscess of breast associated with lactation

O91.13Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Non-puerperal breast abscessN61.2

Other panniculitisL98.3

Documentation & Coding Risks

Avoid these common issues when documenting Breast Abscess with Erythema Nodosum.

Omitting erythema nodosum code when lesions are present

Impact

Clinical: Incomplete clinical picture., Regulatory: Non-compliance with coding standards., Financial: Potential underpayment for services.

Mitigation

Thorough skin examination documentation., Link skin findings to primary condition.

Confusing lactation and puerperium codes

Impact

Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and statistics.

Mitigation

Verify and document the patient's postpartum status clearly.

Code Sequencing

Impact

Improper sequencing of primary and secondary codes.

Mitigation

Regular training on ICD-10 coding guidelines.

Frequently Asked Questions

Primary Code

O91.13

Abscess of breast associated with lactation

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