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A pilonidal cyst is a type of cyst that forms in the skin, typically located just above the cleft of the buttocks. It often contains hair, skin debris, and can become infected, leading to the formation of an abscess. When this occurs, a medical procedure known as incision and drainage is performed to alleviate the infection and remove the contents of the cyst. During this procedure, the affected area is first cleansed, and a local anesthetic is administered to minimize discomfort. A straight or elliptical incision is then made to access the cyst, allowing for the drainage of pus and other materials. The procedure also involves the removal of hair and debris, as well as the epithelial lining of the cyst, which is accomplished through a technique called curettage. This procedure is classified as simple and is coded as CPT® Code 10080. It is important to note that for more complicated cases, which may require additional interventions such as the placement of a drain or packing with gauze, CPT® Code 10081 should be used instead.
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