AHA Coding Clinic® for HCPCS - 2021 Quarter 1; For Your Information
Excision of an umbilical pilonidal cyst
A patient presented with an umbilical pilonidal cyst. A supraumbilical incision was made and the cyst and tract were removed its entirety. We are seeking advice on how to properly code excision of an umbilical pilonidal cyst. Is CPT code 11770 only assigned for pilonidal cysts in the sacral area or can the same code be used when the cyst is in the umbilicus? Would CPT code 10121 be more appropriate? ...
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Article Overview
This premium article discusses a coding inquiry involving excision of an umbilical pilonidal cyst and tract. It is aimed at coding professionals who need help understanding how CPT guidance applies to this type of procedure and how the question is resolved at a high level.
Why This Topic Matters
Questions about uncommon anatomic sites can create uncertainty in procedure coding. This article helps coders and billers identify the relevant CPT area of guidance for a pilonidal cyst excision case.
What You Will Learn
- How the article frames the coding question for an umbilical pilonidal cyst excision.
- Which CPT area of guidance the discussion addresses for this type of case.
- How unusual anatomic location is handled at a broad, informational level.
- What coding professionals should review when comparing procedure code options for pilonidal cyst excision.
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Physician office staff
Codes Discussed
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