11772 - Excision of pilonidal cyst or sinus; complicated
Example #1: Type of Procedure
CPT Assistant Archives
The patient sees the surgeon initially in the office because of an infected pilonidal cyst. The cyst is incised and drained at the first visit. Either of two codes, (
10080*,
10081) would be reported for the surgery, depending on how extensive the incision and drainage was.
10080
Incision and drainage of pilonidal cyst; simple
10081complicated
Depending on the third-party payor, there may be a global postoperative period for each of these procedures. If a decision is subsequently made to excise the pilonidal cyst, the global postoperative period from the incision and drainage may overlap with the preoperative period related to the excision of the pilonidal cyst. When and if the excision of the cyst is performed may influence the preoperative global surgical package by some third party payors (ie, the global period for
10081 may overlap with the preoperative period related to
11772).
After the infection is treated, the decision is made by the surgeon to excise the cyst. The excision of the pilonidal cyst takes place three weeks after the initial incision and drainage. Code
11770,
11771, or
11772 is reported, based on the complexity of the excision. The length of the global period may vary by code number as well as by third-party payor (eg, the physician in the above example could be performing a second surgical procedure during the period of global surgical postoperative care for the first procedure).
11770 Excision of pilonidal cyst or sinus; simple
11771 extensive
11772 complicated