L05.0
L05.0 — Pilonidal cyst and sinus with abscess
Non-billable headerICD-10-CM
L05.0 is a non-billable header ICD-10-CM code for pilonidal cyst and sinus with abscess. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with L05.0
These codes carry an Excludes1 note pointing at L05.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading L05.0 alone.
- L02.3Cutaneous abscess, furuncle and carbuncle of buttock
Risk adjustment
L05.0 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead L05.0
2 child codes. Green means billable.
Related codes at this level
Codes that share L05. If L05.0 is not quite right, the correct code is usually one of these.
Questions about L05.0
- Is L05.0 a billable ICD-10-CM code?
- No. L05.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does L05.0 sit in the tabular list?
- Diseases of the skin and subcutaneous tissue (L00-L99), in the block Infections of the skin and subcutaneous tissue (L00-L08).