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CPT 11770: Excision of Pilonidal Cyst or Sinus, Not Extensive
CPT code 11770 represents the surgical excision of a pilonidal cyst or sinus that does not require extensive dissection and is performed without complication. This code captures a commonly performed minor soft-tissue procedure used to treat symptomatic pilonidal disease and is important for accurate procedure reporting, billing, and national utilization monitoring. Correct use of this code affects claims processing, provider reimbursement, and quality measurement for outpatient surgical care.
Key payers in the national analysis include Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, and Medicare. Readers will find an overview of clinical context for coding 11770, typical settings where the service is provided (outpatient surgical suites, ambulatory surgery centers, and office procedure rooms), and the types of documentation elements that support use of this code. The publication also summarizes benchmarking topics and policy-relevant considerations such as coding specificity, common modifier application (listed separately), and payer coverage patterns where available.
The report offers concise benchmarks and practical policy updates relevant to billing and compliance for minor excisions of pilonidal disease, plus guidance on clinical context that informs code selection. Data not available in the input will be noted explicitly in the detailed sections.
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Billing Code Overview
CPT code 11770 describes the excision of a pilonidal cyst or sinus that does not require extensive dissection and is performed without complication. The procedure involves surgical removal of the cyst or sinus tract and associated tissue sufficient to resolve the lesion while avoiding wide or deep dissection.
Service Type: Minor soft-tissue surgical excision
Typical Site of Service: Outpatient surgical suite, ambulatory surgery center, or physician office-based procedure room
Data not available in the input for associated taxonomies, ICD-10 diagnoses, and related codes.