L05
Non-Billable

Pilonidal cyst and sinus

Non-Billable / Non-Specific Code

What is Pilonidal cyst and sinus?

ICD-10-CM L05 is the diagnosis code for Pilonidal cyst and sinus. This code falls under the section "Infections of the skin and subcutaneous tissue" within Chapter 12 — Diseases of the skin and subcutaneous tissue (L00-L99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

Coding Guidelines for L05

Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.

ICD-10-CM Code Hierarchy

Understanding where L05 sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 2 entries
L05.0Pilonidal cyst and sinus with abscessNon-BillableL05.01Pilonidal cyst with abscessBillableL05.02Pilonidal sinus with abscessBillableL05.9Pilonidal cyst and sinus without abscessNon-BillableL05.91Pilonidal cyst without abscessBillableL05.92Pilonidal sinus without abscessBillable
Related Codes

Frequently Asked Questions

Is L05 a billable ICD-10-CM code?

No, L05 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does L05 mean?

L05 is the ICD-10-CM diagnosis code for "Pilonidal cyst and sinus". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is L05 in?

L05 is located in Section L00-L08 — "Infections of the skin and subcutaneous tissue" within Chapter 12 of the ICD-10-CM Tabular List.

What are the sub-codes of L05?

L05 has 2 sub-code(s) that provide more specific detail: L05.0, L05.9.

When should I use L05?

Use L05 when the patients documented diagnosis matches "Pilonidal cyst and sinus" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Pilonidal cyst and sinus?

The ICD-10-CM code for Pilonidal cyst and sinus is L05.

Can L05 be used for primary diagnosis?

No, L05 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is L05 in?

L05 is in Chapter 12 of the ICD-10-CM Tabular List.

Is L05 valid for 2026?

Yes, L05 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousL04.9Acute lymphadenitis, unspecifiedNext →L05.0Pilonidal cyst and sinus with abscess
Code Details
L05
Pilonidal cyst and sinus
Non-Billable / Non-Specific Code
12 — Diseases of the skin and subcutaneous tissue (L00-L99)
L00-L08 — Infections of the skin and subcutaneous tissue
2026 ICD-10-CM