Pilonidal cyst and sinus with abscess
ICD-10 L05.0 is a used to indicate a diagnosis of pilonidal cyst and sinus with abscess.
A pilonidal cyst and sinus with abscess is a condition characterized by the formation of a cystic lesion in the sacrococcygeal area, often resulting from hair follicles becoming obstructed and infected. Clinically, patients may present with pain, swelling, and tenderness in the lower back region, particularly when sitting or during physical activity. The affected area may exhibit erythema and purulent drainage, indicating the presence of an abscess. The anatomy involved includes the skin and subcutaneous tissue surrounding the coccyx, where hair follicles can become inflamed. Disease progression can lead to recurrent infections and chronic sinus formation if not adequately treated. Diagnostic considerations include a thorough physical examination and, in some cases, imaging studies to assess the extent of the abscess. Treatment typically involves incision and drainage of the abscess, followed by surgical intervention to remove the cyst and prevent recurrence. Proper diagnosis and management are crucial to avoid complications such as cellulitis or systemic infection.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
L05.0 specifically covers pilonidal cysts and sinuses that are complicated by the presence of an abscess. This includes cases where there is significant inflammation and infection requiring surgical intervention.
L05.0 should be used when there is clear evidence of an abscess associated with a pilonidal cyst. If the cyst is present without abscess formation, L05.1 should be used instead.
Documentation should include a detailed clinical assessment of the abscess, treatment plans, operative notes if surgery is performed, and follow-up care details to ensure comprehensive coverage for L05.0.
