Results 1 to 4 of 4

Excision of pilonidal cyst

  1. #1
    Location
    Lewiston-Clarkston Chapter
    Posts
    78
    Default Excision of pilonidal cyst
    New Call-to-action
    Would this procedure be 11772 ? or 11771. I keep going back and forth between the two codes. Also what is meant by subcutaneous extensions?

    Op report states: an elliptical excision was then executed with at #15 blade scapel and carried down through the subcutaneous tissue. A tuft of hair was seen within the cyst wound and this area was completely excised. The excision was essentially 1.5 cm in length and after hemostasis was assured to be complete, it was closed with interrupted 2-0 Vicryl suture. Two stab incisions were made lateral to this excision site and a silastic vessel loop was placed through these incisions into the wound cavity as a drain. This was tied to itself and the skin was closed with 4-0 Monocryl in a running subcuticular fashion.

    I read and re-read the cpt codes in my desk reference procedures book but their code descriptions and the op report don't counterpart for me.

    TIA
    KAM

  2. #2
    Default
    I use:

    11770 for excision with simple closure
    11771 for excision with layered closure
    11772 if closure utilizes flaps or grafts

    Hope it helps!
    Carol Gaston CPC CRC CPCO

  3. #3
    Location
    Lewiston-Clarkston Chapter
    Posts
    78
    Default
    Thank you for your input Carol. Going by your help, it looks like my initial chosen code of 11771 would be the appropriate code. Do you agree?

  4. #4
    Default
    I do!
    Carol Gaston CPC CRC CPCO

Similar Threads

  1. Wiki Pilonidal cyst VS Pilonidal Sinus
    By Arunbiot97 in forum ICD-10
    Replies: 0
    Last Post: 12-20-2016, 09:02 PM
  2. Pilonidal cyst vs pilonidal sinus
    By Arunbiot97 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 12-20-2016, 08:43 PM
  3. pilonidal cyst , please help
    By codedog in forum General Surgery
    Replies: 2
    Last Post: 12-20-2016, 07:46 PM
  4. Excision of pilonidal cyst with rhomboid flap
    By R1CPC in forum General Surgery
    Replies: 6
    Last Post: 06-27-2016, 05:29 PM
  5. Pilonidal Cyst Excision
    By caromissunc1 in forum General Surgery
    Replies: 3
    Last Post: 07-02-2014, 09:08 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.