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Excision of pilonidal cyst

  1. #1
    Lewiston-Clarkston Chapter
    Default Excision of pilonidal cyst
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    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.


  2. #2
    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
    Lewiston-Clarkston Chapter
    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
    I do!
    Carol Gaston CPC CRC CPCO

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