N60.91 Unspecified benign mammary dysplasia of right breast

ICD10CM code

#### Name of the Condition
- Unspecified Benign Mammary Dysplasia of Right Breast
- Also known as fibrocystic breast changes or benign breast disease.

#### Summary
- Unspecified benign mammary dysplasia refers to non-cancerous changes in the breast tissue of unknown specific cause, affecting the right breast. It is a common condition characterized by breast lumps or discomfort.

#### Causes
- The exact cause is often unknown, but it is believed to be related to hormonal fluctuations, particularly estrogen and progesterone levels. 

#### Risk Factors
- Being female and premenopausal.
- Family history of breast disease.
- Hormonal imbalances or sensitivity to hormonal changes.
- Use of hormone replacement therapy.

#### Symptoms
- Breast tenderness or pain.
- Presence of lumps or areas of thickened tissue in the right breast.
- Swelling in the breast, sometimes accompanied by discharge.

#### Diagnosis
- Physical examination by a healthcare provider.
- Imaging tests like mammography or ultrasound.
- Biopsy may be conducted if the nature of the lumps is uncertain.

#### Treatment Options
- Management often involves lifestyle modifications, such as reducing caffeine and fat intake.
- Over-the-counter pain relief like NSAIDs.
- Hormonal therapy in some cases to balance hormonal levels.
- Surgery is rarely needed unless there are persistent symptoms.

#### Prognosis and Follow-Up
- Typically, benign mammary dysplasia does not increase cancer risk and symptoms may fluctuate with menstrual cycles.
- Regular follow-ups are encouraged to monitor any changes in breast tissue.

#### Complications
- While generally benign, untreated persistent symptoms can cause discomfort and stress.
- Difficulty in distinguishing benign changes from malignant ones without proper medical evaluation.

#### Lifestyle & Prevention
- Maintaining a healthy lifestyle with regular exercise and a balanced diet.
- Supporting breast health may involve awareness of hormonal changes.

#### When to Seek Professional Help
- New or unusual breast lumps.
- Any significant change in the appearance or feel of the breast.
- Persistent pain or discomfort.

#### Additional Resources
- [American Cancer Society](https://www.cancer.org/cancer/breast-cancer.html) for comprehensive breast health information.
- [National Breast Cancer Foundation](https://www.nationalbreastcancer.org) for resources on benign breast conditions.

#### Tips for Medical Coders
- Ensure the specificity of the code by noting whether the condition is in the right or left breast.
- Avoid common errors like misclassifying benign dysplasia under codes for malignant conditions. Always confirm the benign nature before coding.

Medical Policies and Guidelines for Unspecified benign mammary dysplasia of right breast

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