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Compare/N63.25 vs O91

N63.25 vs O91

N63.25 (Unspecified lump in the left breast, overlapping quadrants) compared with O91 (Infections of breast associated with pregnancy, the puerperium and lactation), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. N63.25 carries an Excludes1 note covering O91: “disorders of breast associated with childbirth (O91-O92)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

N63.25Unspecified lump in the left breast, overlapping quadrantsO91Infections of breast associated with pregnancy, the puerperium and lactation
Billing statusBillableNon-billable header

Report instead: O91.011, O91.012, O91.013, O91.019, O91.02

ClassificationN00-N99 — Diseases of the Genitourinary System (N00-N99)O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)
DefinitionUnspecified lump in the left breast, overlapping quadrants is a billable ICD-10-CM diagnosis code (N63.25).Infections of breast associated with pregnancy, the puerperium and lactation is a non-billable ICD-10-CM category code (O91).
Use additional code
code to identify infection

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources