• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki pilonidal cyst vs. abscess

buckeye56

Guest
Messages
29
Best answers
0
I code for a billing company. The ED physician gave the dx as pilonidal abscess. He performed an I&D which included packing. If this were just any abscess, I would choose the CPT code 10061. If he had said pilonidal cyst, I would choose CPT code 10080 (I don't believe that 10081 applies since he did not mention primary closure, excision of tissue, or a Z-plasty). Is a pilonidal abscess the same as a pilonidal cyst? 10061 pays more than 10080, but which one is correct?
 
I code for a billing company. The ED physician gave the dx as pilonidal abscess. He performed an I&D which included packing. If this were just any abscess, I would choose the CPT code 10061. If he had said pilonidal cyst, I would choose CPT code 10080 (I don't believe that 10081 applies since he did not mention primary closure, excision of tissue, or a Z-plasty). Is a pilonidal abscess the same as a pilonidal cyst? 10061 pays more than 10080, but which one is correct?

Yes, it is the same if it is either a pilonidial cyst or pilonidial abscess. You would use the 10080 in your situation instead of the 10081. Hope this helps.
 
Top