How To Use cpt 10080

cpt 10080 describes the procedure of incision and drainage of a pilonidal cyst. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of cpt 10080.

1. What is cpt 10080?

cpt 10080 is a code used to describe the incision and drainage procedure for a pilonidal cyst. During this procedure, a healthcare provider makes a small scalpel incision and drains the contents of the cyst, which may include pus. A pilonidal cyst is a cyst or abscess near or at the bottom of the coccyx (tip of the spine) just above the buttock crease that contains hair and skin debris.

2. Official Description

The official description of cpt 10080 is: ‘Incision and drainage of pilonidal cyst simple.’

3. Procedure

1. The healthcare provider cleans and preps the area around the pilonidal cyst.
2. A small scalpel incision is made to access the cyst.
3. The healthcare provider expresses a small amount of pus from the cyst.

4. Qualifying circumstances

cpt 10080 is performed when a patient has a pilonidal cyst that requires incision and drainage. The cyst is typically located near or at the bottom of the coccyx and contains hair and skin debris. The procedure is performed by a healthcare provider to alleviate symptoms and promote healing.

5. When to use cpt code 10080

cpt 10080 should be used when a healthcare provider performs the incision and drainage procedure for a pilonidal cyst. It is important to note that cpt 10080 is specifically for simple cases of pilonidal cyst incision and drainage. If the procedure requires more extensive packing, drain placement, or subsequent wound closure, a different code should be used.

6. Documentation requirements

To support a claim for cpt 10080, the healthcare provider must document the following information:

• Patient’s diagnosis of a pilonidal cyst
• Description of the procedure performed, including the incision and drainage
• Date of the procedure
• Any additional details or complications encountered during the procedure
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for cpt 10080, ensure that the procedure performed meets the criteria for incision and drainage of a pilonidal cyst. It is important to accurately document the procedure and any additional details or complications encountered. If the procedure requires more extensive packing, drain placement, or subsequent wound closure, a different code should be used.

8. Historical information

cpt 10080 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Similar codes to cpt 10080

Five similar codes to cpt 10080 include:

• cpt 10081: This code is used for a complicated incision and drainage of a pilonidal cyst, which may involve more extensive packing, drain placement, or subsequent wound closure.
• cpt 11770: This code is used for the excision of a pilonidal cyst.
• cpt 11771: This code is used for the excision of a pilonidal cyst with extensive removal of surrounding tissue.
• cpt 11772: This code is used for the excision of a pilonidal cyst with extensive removal of surrounding tissue and closure of the wound.
• cpt 11773: This code is used for the excision of a pilonidal cyst with extensive removal of surrounding tissue and closure of the wound, requiring complex closure techniques.

9. Examples

1. A healthcare provider performing an incision and drainage procedure for a simple pilonidal cyst.
2. A patient with a pilonidal cyst undergoing an incision and drainage procedure to alleviate symptoms.
3. A healthcare provider making a small scalpel incision and draining the contents of a pilonidal cyst.
4. A patient with a pilonidal cyst receiving treatment through incision and drainage to promote healing.
5. A healthcare provider performing the incision and drainage procedure for a pilonidal cyst, ensuring proper cleaning and prepping of the area.
6. A patient with a pilonidal cyst undergoing the incision and drainage procedure to relieve pain and discomfort.
7. A healthcare provider expressing pus from a pilonidal cyst during the incision and drainage procedure.
8. A patient with a pilonidal cyst receiving the incision and drainage procedure to prevent further complications.
9. A healthcare provider documenting the details of the incision and drainage procedure for a pilonidal cyst.
10. A patient with a pilonidal cyst undergoing the incision and drainage procedure for prompt resolution of symptoms.