L05.01

Pilonidal cyst with abscess

FY2027Chapter 12: Diseases of the skin and subcutaneous tissue/L00–L08 Infections of the skin and subcutaneous tissue

BillableComplete code, valid to report

L05.01 (also written L0501) is a billable ICD-10-CM diagnosis code for pilonidal cyst with abscess. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 4 codes in category L05 (Pilonidal cyst and sinus). The Alphabetic Index lists it under 2 entries. Its coding notes include a Use additional code instruction and 25 Excludes2 entries.

Use additional code

Add the listed code as a secondary code, if known.

Also from chapter/block level (1 note)
Inherited from L00–L08 Infections of the skin and subcutaneous tissue
  • code (B95-B97) to identify infectious agent.

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

This code
  • congenital sacral dimple (Q82.6)
  • parasacral dimple (Q82.6)
Also from chapter/block level (23 notes)
Inherited from L00–L08 Infections of the skin and subcutaneous tissue
  • hordeolum (H00.0)
  • infective dermatitis (L30.3)
  • local infections of skin classified in Chapter 1
  • lupus panniculitis (L93.2)
  • panniculitis NOS (M79.3)
  • panniculitis of neck and back (M54.0-)
  • Perlèche NOS (K13.0)
  • Perlèche due to candidiasis (B37.0)
  • Perlèche due to riboflavin deficiency (E53.0)
  • pyogenic granuloma (L98.0)
  • relapsing panniculitis [Weber-Christian] (M35.6)
  • viral warts (B07.-)
  • zoster (B02.-)
Inherited from Chapter 12 Diseases of the skin and subcutaneous tissue
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • lipomelanotic reticulosis (I89.8)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • systemic connective tissue disorders (M30-M36)
  • viral warts (B07.-)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Home Health Primary

Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the Wound clinical group.

Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026

Hospital CC

Counts as a complication or comorbidity (CC) when reported as a secondary diagnosis on an inpatient claim. It does not count when the principal diagnosis is one of the 10 codes in its exclusion list. Some MS-DRGs also ignore a CC or MCC that defines the DRG.

Source: CMS MS-DRG Definitions Manual v44, effective October 1, 2026, Appendix C

Inclusion terms

Conditions classified to this code.

This code
  • Pilonidal abscess
  • Pilonidal dimple with abscess
  • Postanal dimple with abscess

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 2 entries