2025 CPT code 10080
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Incision and Drainage Integumentary System Feed
Incision and drainage of a simple pilonidal cyst.
Modifiers may be applicable depending on circumstances, such as multiple procedures (modifier 51), reduced services (modifier 52), or increased procedural services (modifier 22).Consult current coding guidelines for appropriate modifier use.
Medical necessity for I&D of a pilonidal cyst is established when the cyst is symptomatic (painful, infected, or causing significant discomfort) and conservative measures (e.g., warm compresses, antibiotics) have failed or are not effective.
The physician is responsible for evaluating the pilonidal cyst, determining the need for I&D, performing the procedure, and providing post-operative instructions.This includes appropriate wound care and follow-up.
In simple words: The doctor makes a small cut in a pilonidal cyst (a painful lump near the tailbone) to drain the pus. This helps relieve pain and infection.
This CPT code describes the incision and drainage (I&D) of a pilonidal cyst.The procedure involves a small incision made into the cyst to allow drainage of pus and other infectious material.The procedure is typically performed under local anesthesia and may involve cleaning and prepping the area prior to incision.This is a simple I&D and does not include more extensive procedures such as drain placement, extensive packing, or wound closure.
Example 1: A 28-year-old male presents with a painful, fluctuant mass at the sacrococcygeal region.Physical exam reveals a tender, erythematous pilonidal cyst.The physician performs a simple I&D, draining purulent material. The wound is left open to heal by secondary intention., A 35-year-old female reports a recurring pilonidal cyst with episodic drainage. She presents with a small, inflamed lesion. The physician performs an I&D under local anesthesia, removing the purulent material. Post-operative instructions for wound care are provided., A 40-year-old male with a history of pilonidal cysts presents with a painful, acutely infected cyst. The physician performs an I&D, draining significant purulent material. The wound is packed with sterile gauze for subsequent dressing changes.
* Detailed history and physical examination documenting the presence of a pilonidal cyst.* Description of the cyst's size, location, and characteristics (e.g., fluctuant, erythematous).* Documentation of the procedure performed (incision and drainage).* Amount of purulent material drained.* Description of wound closure (if applicable).* Post-operative instructions provided to the patient.* Appropriate follow-up care plan.
** Always refer to the most current CPT codebook and payer-specific guidelines for accurate coding and billing.
- Revenue Code: P6A (Minor Procedures - Skin)
- RVU: This information is not available in the provided source.Consult the current year's Medicare Physician Fee Schedule for RVU data and reimbursement details.
- Global Days: The global period for this procedure is likely 0 days, as it's a minor procedure, but the exact duration should be verified through local guidelines and payer specific policies.
- Payment Status: Active
- Modifier TC rule: The provided data does not specify whether a Technical Component (TC) modifier applies.This should be determined based on the payer's specific guidelines and the circumstances of the service.
- Fee Schedule: This information is not available in the provided source.Consult historical CPT fee schedules for relevant data.
- Specialties:General Surgery, Colorectal Surgery
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center