Pilonidal sinus with abscess
ICD-10 L05.02 is a billable code used to indicate a diagnosis of pilonidal sinus with abscess.
Pilonidal sinus with abscess is a condition characterized by the formation of a cavity or sinus in the skin, typically located in the sacrococcygeal region, which becomes infected and filled with pus, leading to an abscess. Clinically, patients may present with pain, swelling, and tenderness in the affected area, often accompanied by fever and malaise. The anatomy involved primarily includes the skin and subcutaneous tissue around the coccyx, where hair follicles can become obstructed, leading to the development of a pilonidal sinus. Disease progression can vary; if left untreated, the abscess may rupture, leading to further complications such as chronic infection or recurrence. Diagnostic considerations include a thorough physical examination, imaging studies such as ultrasound or MRI in complicated cases, and a review of the patient's history, particularly regarding previous episodes or surgical interventions. Accurate diagnosis is crucial to differentiate pilonidal disease from other conditions such as hidradenitis suppurativa or abscesses due to other etiologies.
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
L05.02 specifically covers pilonidal sinus with abscess, which is characterized by an infected cavity in the skin, typically in the sacrococcygeal area, leading to pus accumulation and inflammation.
L05.02 should be used when there is a confirmed diagnosis of pilonidal sinus that has developed into an abscess. It is important to differentiate this from L05.01, which does not involve an abscess.
Documentation should include a detailed clinical examination, imaging results if applicable, treatment plans, and any surgical notes if drainage or excision was performed.
