Find comprehensive information on right breast cyst diagnosis, including clinical documentation, medical coding (ICD-10 N60.1), and healthcare best practices. Learn about breast cyst symptoms, diagnostic imaging (mammogram, ultrasound), differential diagnoses, and treatment options. This resource provides valuable information for healthcare professionals, patients, and medical coders seeking accurate and up-to-date details on right breast cysts.
Also known as
Noninflammatory disorders of female breast
Covers benign breast conditions like cysts and fibroadenomas.
Diseases of the breast
Broader category encompassing various breast diseases.
Benign neoplasm of breast
Includes some cystic breast lesions that are neoplastic.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the right breast cyst specified as solitary?
Yes
Code N60.01
No
Is the cyst associated with nipple discharge?
When to use each related code
| Description |
|---|
| Right breast cyst |
| Breast cyst NOS |
| Fibrocystic breast changes |
Coding right breast cyst without specifying laterality can lead to inaccurate data and reimbursement issues. Use N60.01 for right breast.
Coding a cyst without definitive diagnostic confirmation (e.g., imaging) may result in claim denials. CDI should query for supporting documentation.
Lack of documentation on symptoms or complexity (simple vs. complex) can impact coding accuracy and appropriate medical necessity reviews.
Patient presents with complaints of a palpable lump in the right breast. The patient describes the lump as (tender/non-tender), (mobile/fixed), and (smooth/irregular). On physical examination, a palpable, (smooth/irregular), (mobile/fixed) mass is noted in the (upper outer quadrant/upper inner quadrant/lower outer quadrant/lower inner quadrant/subareolar) region of the right breast. No nipple discharge or skin changes are observed. The left breast examination is unremarkable. Ultrasound of the right breast demonstrates a simple cyst measuring (size) cm, consistent with a right breast cyst. Differential diagnoses include fibroadenoma, breast abscess, and less likely, malignancy. Assessment: Right breast cyst. Plan: Patient education provided regarding breast cysts, including their benign nature and potential for fluctuation in size. Options for fine-needle aspiration or observation were discussed. The patient elected (fine-needle aspiration/observation). Follow-up mammogram andor ultrasound recommended in (timeframe) for monitoring. Patient advised to return sooner if symptoms change or worsen. ICD-10 code: N60.01.