N60.19 Diffuse cystic mastopathy of unspecified breast

ICD10CM code

# Diffuse Cystic Mastopathy of Unspecified Breast (ICD Code: N60.19)

#### Name of the Condition
- Common Name: Fibrocystic Breast Changes
- Medical Terms: Diffuse Cystic Mastopathy

#### Summary
Diffuse cystic mastopathy, commonly referred to as fibrocystic breast changes, is a non-cancerous condition characterized by changes in breast tissue. It often results in lumpiness, tenderness, and sometimes pain, but the changes are benign.

#### Causes
The exact cause of diffuse cystic mastopathy is unknown, but it is believed to be related to hormonal fluctuations, particularly those involving estrogen and progesterone.

#### Risk Factors
- Age: Most common in women between 30 and 50 years old.
- Hormonal factors: Higher estrogen levels may contribute to the development of the condition.
- Family history: Having relatives with similar breast changes.

#### Symptoms
- Breast lumpiness or areas of thickened tissue.
- Breast tenderness or pain, especially before menstrual periods.
- Fluctuating breast size or changes in the texture of lumps.

#### Diagnosis
- Physical Examination: Initial assessment by a healthcare provider.
- Imaging Tests: Mammogram or ultrasound to rule out other conditions.
- Fine-needle Aspiration or Biopsy: Used if imaging is inconclusive, ensuring no malignancy is present.

#### Treatment Options
- Symptomatic Relief: Over-the-counter pain relievers such as acetaminophen or ibuprofen.
- Hormonal Therapy: Occasionally used to manage symptoms by balancing estrogen levels.
- Supportive Garments: Wearing a well-fitted bra for support can alleviate discomfort.

#### Prognosis and Follow-Up
- The condition is often chronic but benign.
- Regular monitoring and follow-up exams are usually recommended to assess changes and rule out serious conditions.

#### Complications
- While fibrocystic changes themselves are not dangerous, they may complicate the detection of new or irregular breast lumps which could potentially be malignant.

#### Lifestyle & Prevention
- Limit caffeine and reduce salt intake, which can help minimize symptoms.
- Maintain a balanced diet and regular exercise to support hormonal balance.

#### When to Seek Professional Help
- If a new lump is found or an existing one changes in size or texture.
- Persistent pain or tenderness not related to the menstrual cycle.

#### Additional Resources
- American Cancer Society: [cancer.org](https://www.cancer.org)
- National Breast Cancer Foundation: [nationalbreastcancer.org](https://www.nationalbreastcancer.org)

#### Tips for Medical Coders
- Ensure specificity by noting this code applies to unspecified breast involvement.
- Common Mistake to Avoid: Confusing with malignant breast conditions or precise side (right or left) when not specified.

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