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Incision and drainage of pilonidal cyst

Maiu Posted Tue 20th of December, 2011 13:50:29 PM

Can 18001 be used for Incision and drainage of pilonidal cyst with packing?

SuperCoder Answered Tue 20th of December, 2011 14:33:58 PM

10080 Incision and drainage of pilonidal cyst; simple
10081 Incision and drainage of pilonidal cyst; complicated

SuperCoder Answered Tue 20th of December, 2011 16:18:52 PM

If the chart notes specifically state "pilonidal cyst," or provide a detailed location to more clearly make that assumption, you can report code 10080 (Incision and drainage of pilonidal cyst; simple) or 10081 (Incision and drainage of pilonidal cyst; complicated). Whether you choose 10080 or 10081 depends solely on the physician’s opinion. According to the Dec. 2006 CPT Assistant, "the choice of code is at the physician’s discretion, based on the level of difficulty involved in the incision and drainage procedure."

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Otherwise, you should report CPT® code 10061 (Incision and drainage of abscess [e.g. carbuncle, supportive hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, paronychia]; complicated or multiple), because of the packing needed.

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Best,
Leesa

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Leesa A. Israel, BA, CPC, CUC, CMBS
Executive Editor, The Coding Institute
Manager, TCI Consulting & Revenue Cycle Solutions
Home office: (866) 458-2973
Email: leesai@codinginstitute.com
www.codinginstitute.com

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