Pilonidal cyst and sinus without abscess
ICD-10 L05.9 is a used to indicate a diagnosis of pilonidal cyst and sinus without abscess.
A pilonidal cyst and sinus without abscess is a condition characterized by the formation of a cyst or sinus in the sacrococcygeal region, typically occurring in young adults. The condition arises from the accumulation of hair, skin debris, and other materials in a small cavity beneath the skin, leading to inflammation and discomfort. Clinically, patients may present with localized pain, swelling, and tenderness in the lower back area, particularly when sitting. The cyst may become infected, leading to an abscess, but in the case of L05.9, there is no abscess present. The anatomy involved includes the skin and subcutaneous tissue around the coccyx, where hair follicles may become obstructed. Disease progression can lead to recurrent infections and the formation of multiple cysts or sinuses if left untreated. Diagnostic considerations include a thorough physical examination and, if necessary, imaging studies to rule out other conditions. Treatment typically involves surgical intervention to excise the cyst and prevent recurrence, along with proper wound care to promote healing.
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
L05.9 covers pilonidal cysts and sinuses that are not associated with an abscess. It is important to differentiate this from related codes that indicate the presence of an abscess or other complications.
L05.9 should be used when a patient presents with a pilonidal cyst or sinus that is not infected or does not have an abscess. If there are signs of infection or abscess formation, codes such as L05.0 should be considered.
Documentation should include a detailed clinical assessment, noting the absence of abscess, any symptoms experienced by the patient, and the treatment plan proposed. Photographic evidence may also be beneficial.
