AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 3; Ask the Editor

Endoscopic Removal of Pilonidal Sinus and Cyst

A patient with pilonidal cyst and sinus with multiple recurrent abscesses underwent endoscopic treatment. According to the operative note, the resectoscope was used in cautery mode as a cutting tool, to remove the pilonidal sinus and cyst. The abscess cavity was cored out using a Beaver blade and the nonhealing tract was removed. The resectoscope was then passed to remove the chronic inflammatory tissue and to cauterize any hair-bearing area to eliminate recurrence.  What is the appropriate code assignment for this procedure? ...

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