This article will outline the causes, symptoms, diagnosis, treatment and the ICD 10 CM code for Pilonidal Cyst.
Pilonidal Cyst ICD 10 Causes
The exact cause of a Pilonidal Cyst ICD 10 is unclear. However, most of these cysts appear to be caused by loose hair penetrating the skin.
Friction, pressure on the skin, rubbing the skin with tight clothing, cycling or sitting for a long time are similar factors that force the hair into the skin. The body reacts to the hair as foreign substances and forms cysts from the hair.
Pilonidal Cyst ICD 10 Symptoms
The symptoms of a Pilonidal Cyst ICD 10 include:
- swelling at the lower end of the spine
- drainage of pus or blood
- a bad smell from the pus
- fear of touching
- A hairdresser, dog walker or sheep shearer can develop a Pilonidal Cyst on the skin of their fingers.
They may also vary in size. In some patients, a small dimple may cover a larger, more painful area.
Pilonidal Cyst ICD 10 Diagnosis
The position of the Pilonidal Cyst ICD 10 on the top of the buttocks makes it characteristic of a pilonidal cyst. It looks like a lump, swelling or cleft in the buttocks, with tenderness and drainage of bleeding from the area around the sinuses. Doctors diagnose pilonsidal cysts through a physical examination.
Pilonidal Cyst ICD 10 Treatment
The first treatment of an infected Pilonidal Cyst ICD 10 takes place in the doctor’s office. If the infection is severe, a blood test is performed to diagnose it. In case of a pilonidal cyst, no imaging examinations are required.
After anaesthetising the area with an injection, the doctor will make a small incision to drain the cyst. If the cysts recur (which can happen), the patient may have to undergo extensive surgery to remove them. After the operation, doctors may decide to leave the wound open.
This process leads to a faster healing time and a lower risk of recurrent pilonidal cyst infection. Another option is to leave the surgical wound open and pack or dress it so that the wound can heal from the inside out. The doctor may decide to close the wound with stitches. The healing time will be shorter, but the longer the closure, the greater the risk of relapse.
If the surgeon makes an incision on either side of the glutes, healing can be more difficult. The patient may need to shave the surgical site to prevent the penetration of hair into the wound. Wound care is very important after the operation. The doctor and nurse give the patient detailed instructions on how to change the dressing, but expect the normal healing process without calling the doctor.
ICD 10 Code For Pilonidal Cyst
ICD 10 CM L05 Pilonidal cyst and sinus
ICD 10 CM L05.0 Pilonidal cyst and sinus with abscess
ICD 10 CM L05.01 Pilonidal cyst with abscess
ICD 10 CM L05.02 Pilonidal sinus with abscess
ICD 10 CM L05.9 Pilonidal cyst and sinus without abscess
ICD 10 CM L05.91 Pilonidal cyst without abscess
ICD 10 CM L05.92 Pilonidal sinus without abscess