Name of the Condition

• Unspecified ovarian cyst, right side
• ICD Code: N83.201

Summary

An ovarian cyst is a fluid-filled sac within or on the surface of an ovary. An unspecified ovarian cyst on the right side means that the particular type of cyst hasn't been determined.

Causes

Ovarian cysts can develop due to hormonal imbalances, endometriosis, pregnancy, or severe pelvic infections, although the exact cause of some cysts remains unknown.

Risk Factors

• Hormonal problems, such as polycystic ovary syndrome (PCOS)
• Previous history of ovarian cysts
• Pregnancy
• Endometriosis
• Severe pelvic infections

Symptoms

• Pelvic pain on the right side
• Abdominal bloating or swelling
• Painful menstruation or changes in menstrual cycles
• Pain during intercourse or bowel movements

Diagnosis

Diagnosis typically involves:

• Pelvic examination to feel for swelling of the ovaries
• Ultrasound to visualize the cyst
• Blood tests if needed to check for hormonal imbalances or rule out cancer

Treatment Options

• Watchful Waiting: Many cysts resolve on their own.
• Medications: Hormonal contraceptives may prevent future cysts.
• Surgery: In cases where the cyst is large, persistent, or symptomatic, procedures like laparoscopy or laparotomy may be considered.

Prognosis and Follow-Up

Most ovarian cysts are benign and resolve without treatment. Regular follow-up appointments, including ultrasounds, may be recommended to monitor the cyst's status.

Complications

• Ovarian torsion, leading to severe pain and potential ovary damage
• Cyst rupture, causing internal bleeding and pain
• Potential impact on fertility, though this is rare

Lifestyle & Prevention

• Regular pelvic examinations to detect changes early
• Maintaining a healthy lifestyle with balanced nutrition and regular exercise to help regulate hormonal balance

When to Seek Professional Help

• Sudden, severe abdominal pain
• Fever or vomiting accompanied by pelvic pain
• Faintness or dizziness

Additional Resources

• American College of Obstetricians and Gynecologists (ACOG)
• Office on Women’s Health
• Local support groups for women’s health

Tips for Medical Coders

• Ensure accurate documentation of cyst location and type.
• Avoid coding unspecified cysts when detailed information is available.
• Verify if additional symptoms or diagnoses impact the primary coding decision.