N63.12 Unspecified lump in the right breast, upper inner quadrant

ICD10CM code

#### Name of the Condition
- Unspecified lump in the right breast, upper inner quadrant
- Medical term: N63.12

#### Summary
- This condition involves the presence of an unspecified lump in the upper inner quadrant of the right breast. Lumps in the breast can be benign or indicative of more serious conditions, requiring medical evaluation for accurate assessment.

#### Causes
- While the exact cause of breast lumps varies, they can result from hormonal changes, cysts, fibrocystic conditions, infections, or in some cases, tumors.

#### Risk Factors
- Age (more common in women over 40)
- Family history of breast cancer
- Personal history of breast conditions
- High breast density
- Lifestyle factors such as diet and alcohol consumption

#### Symptoms
- Palpable lump or mass in the right breast
- Changes in breast shape or size
- Skin changes such as dimpling or puckering
- Nipple discharge or inversion

#### Diagnosis
- Physical examination by a healthcare professional
- Imaging tests, including mammography or ultrasound
- Biopsy if the imaging tests suggest further investigation

#### Treatment Options
- Monitoring: Regular check-ups if the lump is deemed benign
- Medications: Antibiotics for lumps caused by infections
- Surgical intervention: Lumpectomy for persistent or concerning lumps
- Hormonal therapy or chemotherapy if cancerous

#### Prognosis and Follow-Up
- Most breast lumps are benign, but regular follow-up is crucial to monitor changes.
- The prognosis depends on the underlying cause, with early detection and treatment improving outcomes significantly.

#### Complications
- Potential anxiety and stress due to uncertainty of diagnosis
- Spread of malignancy if a cancerous lump is not treated timely

#### Lifestyle & Prevention
- Maintain a healthy diet and exercise regularly
- Limit alcohol intake
- Perform regular self-breast examinations
- Attend recommended screening appointments

#### When to Seek Professional Help
- Noticeable growth or change in the lump
- Persistent pain or discomfort
- Detection of new symptoms such as nipple discharge

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

#### Tips for Medical Coders
- Ensure precise documentation of the lump's location to use the correct ICD code.
- Review imaging and pathology reports for accurate coding.
- Avoid confusion with similar codes; verify laterality and quadrant specifics.

Medical Policies and Guidelines for Unspecified lump in the right breast, upper inner quadrant

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