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A pilonidal cyst is a type of cyst that typically forms in the area just above the cleft of the buttocks. It is often filled with hair, skin debris, and other materials. When a pilonidal cyst becomes infected, it can lead to the formation of draining sinuses, which can cause significant discomfort and complications for the patient. For individuals suffering from chronic infections associated with pilonidal cysts, various surgical interventions are available to address the issue. The CPT® Code 11772 specifically refers to the excision of a complicated pilonidal cyst or sinus. This procedure involves a more extensive surgical approach compared to simpler excisions, as it requires the complete removal of the cyst down to the sacral fascia. In some cases, the anterior portion of the cyst may be excised, and the remaining edges of the cyst wall are sutured to the skin edges, a technique known as marsupialization. This method allows for proper drainage and healing of the wound, which is then packed open to facilitate recovery. The complexity of this procedure underscores the need for careful surgical planning and execution to ensure effective treatment of the pilonidal condition.
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The procedure coded as CPT® 11772 is indicated for patients experiencing complications from a pilonidal cyst or sinus. The following conditions may warrant this surgical intervention:
The procedure for CPT® 11772 involves several critical steps to ensure the effective excision of the pilonidal cyst. The following outlines the procedural steps:
After the procedure coded as CPT® 11772, patients are typically advised on specific post-operative care to ensure proper healing. The wound is left open and packed with gauze to allow for drainage and to prevent infection. Patients may experience some discomfort and are often prescribed pain management as needed. Follow-up appointments are essential to monitor the healing process and to address any complications that may arise. Patients should be instructed to keep the area clean and dry, and to report any signs of infection, such as increased redness, swelling, or discharge. The recovery period may vary depending on the extent of the excision and the individual’s overall health.
| Short Descr | REMOVE PILONIDAL CYST COMPL | Medium Descr | EXCISION PILONIDAL CYST/SINUS COMPLICATED | Long Descr | Excision of pilonidal cyst or sinus; complicated | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P5A - Ambulatory procedures - skin | MUE | 1 | CCS Clinical Classification | 175 - Other OR therapeutic procedures on skin and breast |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 82 | Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s). | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | CR | Catastrophe/disaster related | FA | Left hand, thumb | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | PO | Excepted service provided at an off-campus, outpatient, provider-based department of a hospital | RT | Right side (used to identify procedures performed on the right side of the body) | SG | Ambulatory surgical center (asc) facility service | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| 2013-01-01 | Changed | Short Descriptor changed. |
| Pre-1990 | Added | Code added. |
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