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Z01.411

ICD-10-CM 2027 · Billable

Encounter for gynecological examination (general) (routine) with abnormal findings

Sibling codes

  • Z01.419 – Encounter for gynecological examination (general) (routine) without abnormal findings

Use additional code

  • code to identify abnormal findings

Inherited from Z01.41: Encounter for routine gynecological examination

Excludes1

  • gynecologic examination status-post hysterectomy for malignant condition (Z08)
  • screening cervical pap smear not a part of a routine gynecological examination (Z12.4)

Inclusion terms

  • Encounter for general gynecological examination with or without cervical smear
  • Encounter for gynecological examination (general) (routine) NOS
  • Encounter for pelvic examination (annual) (periodic)

Use additional code

  • code:
  • for screening for human papillomavirus, if applicable, (Z11.51)
  • for screening vaginal pap smear, if applicable (Z12.72)
  • to identify acquired absence of uterus, if applicable (Z90.71-)

Inherited from Z01.4: Encounter for gynecological examination

Excludes2

  • pregnancy examination or test (Z32.0-)
  • routine examination for contraceptive maintenance (Z30.4-)

Inherited from Z01: Encounter for other special examination without complaint, suspected or reported diagnosis

Excludes1

  • encounter for examination for administrative purposes (Z02.-)
  • encounter for examination for suspected conditions, proven not to exist (Z03.-)
  • encounter for laboratory, radiologic and imaging examinations for sign(s) and symptom(s) - code to the sign(s) or symptom(s)

Excludes2

  • encounter for laboratory and radiologic examinations as a component of general medical examinations (Z00.0-)
  • screening examinations (Z11-Z13)

Includes

  • routine examination of specific system

Part of: Z01.41: Encounter for routine gynecological examination › Z01.4: Encounter for gynecological examination › Z01: Encounter for other special examination without complaint, suspected or reported diagnosis