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Home/Diagnosis/ICD-10 Coding for Pilonidal Abscess

ICD-10 Coding for Pilonidal Abscess

L05.01
L05.02

Complete ICD-10-CM coding and documentation guide for icd-10 coding for pilonidal abscess includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Pilonidal Cyst with Abscess
Pilonidal Sinus with Abscess
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Key Information: ICD-10 Coding for Pilonidal Abscess

Essential facts and insights about ICD-10 Coding for Pilonidal Abscess

Use ICD-10 code L05.01 for pilonidal cyst with abscess, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pilonidal cyst with abscess

Billable Code
L05.01
Billable

Diagnostic Criteria

  • • Documented presence of a cyst with purulent drainage

Applicable To

  • • Pilonidal cyst with purulent drainage
  • • Fluctuant mass at sacrococcygeal region

Important Notes

  • • Ensure documentation specifies 'cyst' and 'abscess' to avoid denials.

Pilonidal sinus with abscess

Billable Code
L05.02
Billable

Diagnostic Criteria

  • • Documentation of sinus tracts or fistula with abscess

Applicable To

  • • Sinus tract extending laterally
  • • Coccygeal fistula with abscess

Important Notes

  • • Ensure documentation specifies 'sinus' and 'abscess' to avoid denials.
Ancillary Codes

Additional codes that may be used with this diagnosis

B95-B96

Bacterial organism identification

Use when a specific bacterial organism is identified in cultures.

L03.31x

Cellulitis of buttock

Use when cellulitis is present alongside the abscess.

Frequently Asked Questions

What is the ICD-10 code for pilonidal abscess?

The ICD-10 code for pilonidal abscess is L05.01 for a cyst with abscess and L05.02 for a sinus with abscess.

How do you document a pilonidal abscess?

Document the presence of an abscess, specify whether it is a cyst or sinus, and include details about any sinus tracts or extensions.

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