Pilonidal sinus without abscess
ICD-10 L05.92 is a billable code used to indicate a diagnosis of pilonidal sinus without abscess.
L05.92 refers to a pilonidal sinus without abscess, a condition characterized by the presence of a small cavity or tunnel in the skin, typically located in the sacrococcygeal region. This condition often arises from hair follicles becoming clogged with hair and debris, leading to inflammation and the formation of a sinus tract. Clinically, patients may present with discomfort, itching, or drainage from the sinus, but without the acute pain and systemic symptoms associated with an abscess. The anatomy involved primarily includes the skin and subcutaneous tissue in the lower back area. Disease progression can vary; while some patients may remain asymptomatic, others may experience recurrent infections or complications if left untreated. Diagnostic considerations include a thorough physical examination and, in some cases, imaging studies to assess the extent of the sinus tract. It is crucial for healthcare providers to differentiate between a pilonidal sinus without abscess and other similar conditions, such as pilonidal disease with abscess or other skin infections, to ensure appropriate management.
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
L05.92 specifically covers pilonidal sinus without abscess, which may present as a small, non-inflamed cavity in the skin. It does not include cases where there is an associated abscess or other complications.
L05.92 should be used when the patient presents with a pilonidal sinus that is not associated with an abscess. If there are signs of infection or abscess formation, L05.91 should be considered instead.
Documentation should include a detailed clinical examination noting the absence of abscess, patient symptoms, and any prior treatment history. Photographic evidence and imaging studies may also support the diagnosis.
