octoHealth

L05.92

Billable

Pilonidal sinus without abscess

Chapter 12: Diseases of the skin and subcutaneous tissue

Additional Information

From parent codes: L00-L99 (Chapter 12)

Excludes 2 — Not Included HereFrom L00-L99

Excludes2 means 'NOT INCLUDED HERE!' An Excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time.

  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • lipomelanotic reticulosis (I89.8)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • systemic connective tissue disorders (M30-M36)
  • viral warts (B07.-)

Inpatient DRG Payments

DRG 60354,310 discharges

Cellulitis Without Mcc

Avg. Medicare Payment

$6,446

Total Payment$8,642
Patient Responsibility$2,195
Hospital Charge$37,743
DRG 60210,980 discharges

Cellulitis With Mcc

Avg. Medicare Payment

$11,351

Total Payment$13,872
Patient Responsibility$2,521
Hospital Charge$63,196