InnovaRx Innova Health Strategies

L05.92

Pilonidal sinus without abscess

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 23 never code together
L00-L08block
Excludes2
  • hordeolum (H00.0)H00.0
  • infective dermatitis (L30.3)L30.3
  • local infections of skin classified in Chapter 1
  • lupus panniculitis (L93.2)L93.2
  • panniculitis NOS (M79.3)M79.3
  • panniculitis of neck and back (M54.0-)M54.0-
  • Perlèche NOS (K13.0)K13.0
  • Perlèche due to candidiasis (B37.0)B37.0
  • Perlèche due to riboflavin deficiency (E53.0)E53.0
  • pyogenic granuloma (L98.0)L98.0
  • relapsing panniculitis [Weber-Christian] (M35.6)M35.6
  • viral warts (B07.-)B07.-
  • zoster (B02.-)B02.-
L00-L99chapter
Excludes2
  • certain conditions originating in the perinatal period (P04-P96)P04-P96
  • certain infectious and parasitic diseases (A00-B99)A00-B99
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)O00-O9A
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)Q00-Q99
  • endocrine, nutritional and metabolic diseases (E00-E88)E00-E88
  • lipomelanotic reticulosis (I89.8)I89.8
  • neoplasms (C00-D49)C00-D49
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)R00-R94
  • systemic connective tissue disorders (M30-M36)M30-M36
  • viral warts (B07.-)B07.-

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes 4
L05.92code
Inclusion terms
  • Coccygeal fistula
  • Coccygeal sinus without abscess
  • Pilonidal fistula
L00-L08block
Use additional code
  • code (B95-B97) to identify infectious agent.B95-B97
Index entries leading here 1
  • Sinus — see also Fistula
    • pilonidal (infected) (rectum) L05.92
Alongside this code 1 same parent — L05.9
Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

Maps to no condition category in any loaded model.

Presence is a property of the code. Untick a model to hide it everywhere.

This code

Billable
yes
Code set
FY2026
Parent
L05.9
Block
L00-L08
Siblings
1

Present FY2024–FY2027.