N83.291 Other ovarian cyst, right side

ICD10CM code

#### Name of the Condition
- **Other ovarian cyst, right side**  
- Also known as: Unspecified ovarian cyst, right ovary

#### Summary
An ovarian cyst is a fluid-filled sac that develops on or inside an ovary. While many ovarian cysts are harmless and resolve on their own, some can cause symptoms or complications, especially if they grow large or rupture.

#### Causes
- Follicular cysts: Develop as part of the menstrual cycle when a follicle fails to release an egg.
- Corpus luteum cysts: Form after an egg is released and the follicle reseals and fills with fluid.
- Other causes include hormonal imbalances, endometriosis, or severe pelvic infections.

#### Risk Factors
- Age: Most common in women between puberty and menopause.
- Having a history of ovarian cysts.
- Hormonal problems related to the menstrual cycle.
- Certain medications, especially those used in fertility treatments.

#### Symptoms
- Pelvic pain or discomfort, particularly on the right side.
- Bloating or swelling in the abdomen.
- Menstrual irregularities.
- Pain during intercourse or bowel movements.

#### Diagnosis
- Pelvic examination: To feel for swelling in the ovaries.
- Ultrasound imaging: To confirm the presence and type of cyst.
- Blood tests: To rule out other conditions and check for markers indicative of potential complications.

#### Treatment Options
- Observation: Monitoring cyst size and symptoms if it is small and asymptomatic.
- Medication: Birth control pills to prevent future cysts.
- Surgery: Removal of the cyst if it's large, painful, or suspected to be cancerous.

#### Prognosis and Follow-Up
- Most simple cysts resolve on their own and have a good prognosis.
- Regular follow-up is essential to monitor changes or the development of new cysts.
- Surgical outcomes are generally positive if needed.

#### Complications
- Rupture: Can cause severe pain and internal bleeding.
- Ovarian torsion: Twisting of the ovary, which can cut off its blood supply.
- Potential impact on fertility if left untreated.

#### Lifestyle & Prevention
- Maintain a healthy diet and exercise regularly to balance hormones.
- Regular gynecological check-ups can help in early detection.
- Stress management and avoiding smoking can improve overall reproductive health.

#### When to Seek Professional Help
- Severe or sharp pelvic pain.
- Sudden fever, vomiting, or faintness.
- Symptoms of shock, such as cold, clammy skin or rapid breathing.

#### Additional Resources
- [American College of Obstetricians and Gynecologists (ACOG)](https://www.acog.org/)
- [Ovarian Cancer Research Alliance](https://ocrahope.org/)

#### Tips for Medical Coders
- Ensure specificity in the right side coding to avoid bilateral miscoding.
- Confirm that "N83.291" is used specifically for non-cancerous cysts unless tumor documentation is provided.
- Avoid confusing with other ovarian masses or conditions.

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