Patient presents with complaints consistent with pilonidal cyst symptoms, including pain, swelling, and drainage near the tailbone or natal cleft.  On examination, a pilonidal sinus, abscess, or dimple is observed in the sacrococcygeal region.  The area may exhibit erythema, tenderness, induration, and purulent discharge with a foul odor.  Differential diagnoses considered include hidradenitis suppurativa, perianal abscess, and furuncle.  The patient's medical history was reviewed for risk factors such as obesity, hirsutism, sedentary lifestyle, deep natal cleft, and family history of pilonidal disease.  Severity of the pilonidal abscess is assessed based on the presence of cellulitis, systemic symptoms such as fever, and the extent of the lesion.  Treatment options discussed include conservative management with warm compresses, antibiotics for infection, and incision and drainage for abscesses.  Surgical treatment options, such as excision with primary closure, excision with healing by secondary intention, or marsupialization, may be considered for recurrent or chronic pilonidal disease.  Patient education provided regarding wound care, hygiene, and recurrence prevention.  Follow-up appointment scheduled for wound check and further management as needed.  ICD-10 code H60.1 (acute pilonidal abscess with skin involvement) or H60.0 (acute pilonidal abscess without skin involvement) is appropriate, depending on the presentation.  CPT codes for procedures performed, such as incision and drainage (10060, 10061) or excision (11770, 11772), will be documented accordingly.