ICD-10 O91.02
Billable / SpecificInfection of nipple associated with the puerperium
About ICD-10-CM O91.02
ICD-10-CM code O91.02 represents Infection of nipple associated with the puerperium. This is a billable/specific code in the Pregnancy, Childbirth, and Puerperium chapter (block O91). The 2026 edition of ICD-10-CM O91.02 became effective on October 1, 2025.
Coding Tips for O91.02
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
Most O codes require a 7th character indicating trimester (1 = first, 2 = second, 3 = third). Some require fetus identification character. Code O09 (supervision of high-risk pregnancy) is required as a secondary code when applicable.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under O91.02. Per CMS ICD-10-CM Tabular 2026.
- Puerperal abscess of nipple
Medicare LCD Coverage for O91.02
Local Coverage Determinations (LCDs) from CMS MACs that list O91.02 as a covered diagnosis.
Showing top 7. Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing O91.02.
1 Medicare
CPT Codes Commonly Billed with O91.02
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert O91.02 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| O91.02 | 67502 | 10000 |
| O91.02 | 67504 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To O91.02
Other codes in section O85-O92 (Complications predominantly related to the puerperium).
ICD-10 O91.02, Billing FAQ
Is ICD-10 code O91.02 billable? +
Yes, O91.02 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to O91.02? +
ICD-10 O91.02 includes: Puerperal abscess of nipple.
What ICD-9 codes does O91.02 map to? +
Per CMS GEMs, O91.02 maps to ICD-9 codes: 67502, 67504. Useful for legacy data review and historical claim analysis.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team