Pilonidal Cyst CPT Coding (11770–11772)

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.

John Verhovshek

John Verhovshek

John Verhovshek, MA, CPC, is Managing Editor at AAPC. He has covered medical coding and billing, healthcare policy, and the business of medicine since 1999. He is an alumnus of York College of Pennsylvania and Clemson University, and a member of the Asheville-Hendersonville AAPC Local Chapter.
John Verhovshek

About Has 474 Posts

John Verhovshek, MA, CPC, is Managing Editor at AAPC. He has covered medical coding and billing, healthcare policy, and the business of medicine since 1999. He is an alumnus of York College of Pennsylvania and Clemson University, and a member of the Asheville-Hendersonville AAPC Local Chapter.

3 Responses to “Pilonidal Cyst CPT Coding (11770–11772)”

  1. Ruisa says:

    OR…
    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.

  2. Tomara says:

    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.

  3. Rekha Sadha says:

    can we code limberg flap closure (15734) seperately with complicated pilonidal cyst excision(11772)?

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