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Home/Diagnosis/ICD-10 Coding for Pilonidal Cyst

ICD-10 Coding for Pilonidal Cyst

L05.01
L05.02
L05.91

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

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

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

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

  • • Presence of purulent drainage and fluctuant mass

Applicable To

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

Important Notes

  • • Ensure documentation specifies 'abscess' to avoid incorrect coding.

Pilonidal sinus with abscess

Billable Code
L05.02
Billable

Applicable To

  • • Draining sinus tract
  • • Fistula opening with cellulitis

Important Notes

  • • Document sinus tract details to support coding.

Pilonidal cyst without abscess

Billable Code
L05.91
Billable

Applicable To

  • • Chronic or recurrent cyst
  • • Non-tender cyst

Important Notes

  • • Ensure absence of abscess is documented.

Pilonidal sinus without abscess

Billable Code
L05.92
Billable

Applicable To

  • • Asymptomatic sinus
  • • Chronic serous drainage

Important Notes

  • • Document sinus characteristics clearly.
Ancillary Codes

Additional codes that may be used with this diagnosis

B95.6

Staphylococcus aureus as the cause of diseases classified elsewhere

Use if culture confirms Staphylococcus aureus infection.

Z87.898

Personal history of other specified conditions

Use for documenting history of pilonidal disease.

Frequently Asked Questions

What is the ICD-10 code for a pilonidal cyst with abscess?

The ICD-10 code for a pilonidal cyst with abscess is L05.01. This code is used when there is clinical or imaging confirmation of an abscess associated with the cyst.

How do you code a pilonidal sinus without abscess?

For a pilonidal sinus without abscess, use ICD-10 code L05.92. Ensure documentation specifies the absence of an abscess.

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