I code for a billing company. The ED physician gave the dx as pilonidal abscess. He performed an I&D which included packing. If this were just any abscess, I would choose the CPT code 10061. If he had said pilonidal cyst, I would choose CPT code 10080 (I don't believe that 10081 applies since he did not mention primary closure, excision of tissue, or a Z-plasty). Is a pilonidal abscess the same as a pilonidal cyst? 10061 pays more than 10080, but which one is correct?