L05.01
L05.01: Pilonidal cyst with abscess
Billable / specific codeICD-10-CM
L05.01 is a billable, specific ICD-10-CM code for pilonidal cyst with abscess. It is valid for submission on a claim.
Check L05.01 with the rest of the claim: free scrubberExcludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Pilonidal abscess
- Pilonidal dimple with abscess
- Postanal dimple with abscess
Other codes that can never be billed with L05.01
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
L05.01 is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56766Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures
- A58565Billing and Coding: Wound and Ulcer Care
Alphabetic index entries that lead here
- Abscess›pilonidal
- Cyst›pilonidal›with abscess
Code history
Unchanged in every release from FY2024 to FY2027.