Overview of CPT Code 10080: Incision and Drainage of Pilonidal Cyst

Overview of CPT Code 10080: Incision and Drainage of Pilonidal Cyst

CPT Code 10080 refers to the surgical procedure for incision and drainage of a pilonidal cyst, which is a common condition characterized by a cyst or abscess located near the tailbone.

When CPT Code 10080 is Used?

This procedure is indicated in specific clinical scenarios.

• Presence of a painful pilonidal cyst or abscess.
• Recurrent infections in the pilonidal area.
• Failure of conservative treatments such as antibiotics.

Symptoms Indicating This Procedure

Patients may report various symptoms that necessitate this procedure.

• Severe pain in the lower back or tailbone area.
• Swelling and redness around the cyst.
• Drainage of pus or blood from the cyst.
• Foul odor from the drainage.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention.

• Hair growth in the sacrococcygeal area.
• Prolonged sitting or pressure on the tailbone.
• Obesity and lack of physical activity.
• Family history of pilonidal disease.

Diagnostic Tests Before Procedure

Certain tests may be conducted to confirm the diagnosis.

• Physical examination of the cyst.
• Ultrasound to assess the extent of the cyst.
• Culture of any drainage to identify infection.

Procedure Description

The procedure involves several key steps.

• Patient is positioned comfortably, usually lying on their stomach.
• Area around the cyst is cleaned and sterilized.
• Local anesthesia is administered to numb the area.
• An incision is made over the cyst to allow drainage.
• The cyst cavity is cleaned and any debris is removed.
• The incision may be left open to allow for further drainage.

Preparation for the Procedure

Patients should follow specific guidelines before the procedure.

• Avoid eating or drinking for several hours prior to the procedure.
• Inform the doctor of any medications being taken.
• Arrange for transportation home post-procedure.

Recovery and Aftercare

Post-procedure care is crucial for recovery.

• Rest for the first 24 hours after the procedure.
• Keep the area clean and dry.
• Change dressings as instructed by the healthcare provider.
• Take prescribed pain medications as needed.

Possible Complications

While generally safe, there are potential risks involved.

• Infection at the incision site.
• Recurrence of the pilonidal cyst.
• Bleeding or excessive drainage.
• Scarring in the affected area.

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Post-Procedure Follow-Up

Follow-up appointments are important for monitoring recovery.

• Schedule a follow-up visit within one week post-procedure.
• Monitor for signs of infection or complications.
• Discuss any concerns with the healthcare provider.

Alternative Treatments

There are non-surgical options available for management.

• Antibiotics for infection management.
• Warm compresses to reduce discomfort.
• Hair removal techniques to prevent recurrence.

Home Care Tips

Simple tips can aid in recovery at home.

• Avoid sitting for long periods.
• Wear loose-fitting clothing to reduce irritation.
• Maintain good hygiene in the affected area.

Patient Education & Prevention

Education is key to preventing recurrence.

• Regularly check for signs of cyst formation.
• Maintain a healthy weight and active lifestyle.
• Practice good hygiene, especially in the lower back area.

Billing and Coding Information

CPT Code: 10080

Category: Surgical Procedures

Common Modifiers:

• 50 - Bilateral procedure
• LT - Left side
• RT - Right side

Average Cost and Insurance Coverage

Costs can vary based on several factors.

• Average cost ranges from $1,000 to $3,000.
• Insurance may cover the procedure if deemed medically necessary.
• Check with your insurance provider for specific coverage details.

Related CPT Codes

• 10081 - Incision and drainage of pilonidal cyst
• 10140 - Incision and drainage of hematoma

References and Sources

• Pilonidal Cyst Overview
• Incision and Drainage of Pilonidal Cyst