Pilonidal Cyst CPT Coding (11770–11772)
- By John Verhovshek
- In Industry News
- April 4, 2016
- Comments Off on Pilonidal Cyst CPT Coding (11770–11772)
A pilonidal cyst is a sac under the skin at the base of the spine. It can become infected. When it does the physician will use a scalpel to excise the adjacent tissue. Code selection is based on whether the excision of the cyst is simple, extensive, or complicated. A simple excision (11770 Excision of pilonidal cyst or sinus; simple) is closed in only one layer. If several layers of closure are required and the documentation indicates extensive or complicated; turn to 11771 Excision of pilonidal cyst or sinus; extensive or 11772 Excision of pilonidal cyst or sinus; complicated. In 11771 an extensive sinus, greater than 2 cm, is present superficial to the fascia overlying the sacrum, or there are extensions. The cystic tissue is excised and sutured in several layers. In 11772 the sinus may be infected and involves many subcutaneous extensions, which are excised. Local soft tissue flaps may be required for closure of a large defect.
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10080, Incision and drainage of pilonidal cyst, simple
10081, if the procedure is more complicated and requires marsupialization, approximation of the wounds edges, and/or primary closure.
I was working on a scenario about Pilonidal cysts excision thought to be uncomplicated but had to be repaired using Z-plasty for the incision and the above information clarified what code to use for this type procedure. Thank you AAPC.
can we code limberg flap closure (15734) seperately with complicated pilonidal cyst excision(11772)?
if a Karydakis flap closure is done with 11772 is this coded separately? I’m thinking no but I’m not positive.
Thank you for your help
Is the code 11771 still the same when i had to use a drain tube for six weeks post excision?
Examination of the upper gluteal crease showed a 2-3
cm chronic abscess cavity with this granulation tissue with a
few sinus tracts above this area. I then used a 15 blade and
made an elliptical incision through the skin around this area
and used the Bovie to dissect down through the subcutaneous
tissue. This was carried down to the coccyx and sacral fascia.
The cyst and abscess cavity were excised completely. Any minor
bleeding was controlled with the Bovie. The wound was irrigated
with sterile saline and packed with a wet-to-dry Kerlix gauze.
Patient tolerated procedure well. Please suggest CPT code for excision of pilonidal cyst? 11770 or 11771?
Can we code 11772 for excision of pilonidal diease with Karydakis flap?
Can we code 11771 for excision of pilonidal disease with Karydakis flap?