CPT® Code 11772

A pilonidal cyst is a type of cyst that typically forms in the area just above the cleft of the buttocks. It is often filled with hair, skin debris, and other materials. When a pilonidal cyst becomes infected, it can lead to the formation of draining sinuses, which can cause significant discomfort and complications for the patient. For individuals suffering from chronic infections associated with pilonidal cysts, various surgical interventions are available to address the issue. The CPT® Code 11772 specifically refers to the excision of a complicated pilonidal cyst or sinus. This procedure involves a more extensive surgical approach compared to simpler excisions, as it requires the complete removal of the cyst down to the sacral fascia. In some cases, the anterior portion of the cyst may be excised, and the remaining edges of the cyst wall are sutured to the skin edges, a technique known as marsupialization. This method allows for proper drainage and healing of the wound, which is then packed open to facilitate recovery. The complexity of this procedure underscores the need for careful surgical planning and execution to ensure effective treatment of the pilonidal condition.