L05.02
L05.02: Pilonidal sinus with abscess
Billable / specific codeICD-10-CM
L05.02 is a billable, specific ICD-10-CM code for pilonidal sinus with abscess. It is valid for submission on a claim.
Check L05.02 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Coccygeal fistula with abscess
- Coccygeal sinus with abscess
- Pilonidal fistula with abscess
Other codes that can never be billed with L05.02
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
L05.02 is named in 1 Medicare coverage policy: 1 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
Alphabetic index entries that lead here
- Sinus›pilonidal›with abscess
Code history
Unchanged in every release from FY2024 to FY2027.