ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 L05.01

Billable / Specific CC

Pilonidal cyst with abscess

L05
Block
3
Synonyms
36
LCDs
3
Payer Policies
2
Linked CPTs

About ICD-10-CM L05.01

ICD-10-CM code L05.01 represents Pilonidal cyst with abscess. This is a billable/specific code in the Skin and Subcutaneous Tissue chapter (block L05). The 2026 edition of ICD-10-CM L05.01 became effective on October 1, 2025.

Coding Tips for L05.01

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

Inpatient DRG impact: CC

L05.01 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under L05.01. Per CMS ICD-10-CM Tabular 2026.

  • Pilonidal abscess
  • Pilonidal dimple with abscess
  • Postanal dimple with abscess

Type 2 Excludes

Not included here, the excluded code is not part of L05.01, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • congenital sacral dimple (Q82.6)
  • parasacral dimple (Q82.6)

Inpatient DRG Impact, CC

codes Pilonidal cyst with abscess. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for L05.01

Local Coverage Determinations (LCDs) from CMS MACs that list L05.01 as a covered diagnosis.

36 LCDs

Showing top 10 of 36 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures
Article ID: 56766, Effective: 2025-10-01 00:00:00, 589 covered, 0 non-covered
CPT 10061 →
CMS LCD: Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures
Article ID: 56766, Effective: 2025-10-01 00:00:00, 589 covered, 0 non-covered
CPT 10180 →
CMS LCD: Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures
Article ID: 56766, Effective: 2025-10-01 00:00:00, 589 covered, 0 non-covered
CPT 10060 →
CMS LCD: Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures
Article ID: 56766, Effective: 2025-10-01 00:00:00, 589 covered, 0 non-covered
CPT 10160 →
CMS LCD: Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures
Article ID: 56766, Effective: 2025-10-01 00:00:00, 589 covered, 0 non-covered
CPT 10080 →
CMS LCD: Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures
Article ID: 56766, Effective: 2025-10-01 00:00:00, 589 covered, 0 non-covered
CPT 10081 →
CMS LCD: Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures
Article ID: 56766, Effective: 2025-10-01 00:00:00, 589 covered, 0 non-covered
CPT 10140 →
CMS LCD: Billing and Coding: Wound and Ulcer Care
Article ID: 58565, Effective: 2026-01-01 00:00:00, 1248 covered, 0 non-covered
CPT 97607 →
CMS LCD: Billing and Coding: Wound and Ulcer Care
Article ID: 58565, Effective: 2026-01-01 00:00:00, 1248 covered, 0 non-covered
CPT 29580 →
CMS LCD: Billing and Coding: Wound and Ulcer Care
Article ID: 58565, Effective: 2026-01-01 00:00:00, 1248 covered, 0 non-covered
CPT 97606 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing L05.01.

3 policies

2 Medicare

Billing and Coding: Incision and Drainage (I&D) of Abscess of Skin, Subcutaneous and Accessory Structures
Policy ID: ART-56766
Billing and Coding: Wound and Ulcer Care
Policy ID: ART-58565

1 Aetna

Laser Treatment for Psoriasis and Other Selected Skin Conditions
Policy ID: CPB-0577

CPT Codes Commonly Billed with L05.01

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

2 linkages
  • 10060 I&D abscess — skin abscess by site, pilonidal abscess, sebaceous cyst infected, pyogenic granuloma General Surgery
  • 10061 I&D abscess complicated — deep or multiple abscesses General Surgery

Convert L05.01 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
L05.01 6850 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 L05.01, Billing FAQ

Is ICD-10 code L05.01 billable? +

Yes, L05.01 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to L05.01? +

ICD-10 L05.01 includes: Pilonidal abscess; Pilonidal dimple with abscess; Postanal dimple with abscess.

What codes are Type 2 Excludes for L05.01? +

Type 2 Excludes (may be coded together when both conditions exist): congenital sacral dimple (Q82.6); parasacral dimple (Q82.6)

Is L05.01 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What CPT codes are commonly billed with L05.01? +

Procedures frequently paired with L05.01 include: 10060, 10061.

What ICD-9 codes does L05.01 map to? +

Per CMS GEMs, L05.01 maps to ICD-9 codes: 6850. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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