Z01.411

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

Billable FY2026 2025-10-01 → 2026-09-30

Exclusions 8 never code together

Z01code

Excludes1

encounter for examination for administrative purposes (Z02.-)Z02.-
encounter for examination for suspected conditions, proven not to exist (Z03.-)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-)Z00.0-
screening examinations (Z11-Z13)Z11-Z13

Excludes2

Excludes2

examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)Z30-Z36 Z39.-

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

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

Instructional notes 7

Use additional code

Z01code

Notes

Codes from category Z01 represent the reason for the encounter. A separate procedure code is required to identify any examinations or procedures performedZ01

Includes

Notes

Nonspecific abnormal findings disclosed at the time of these examinations are classified to categories R70-R94.R70-R94

Notes

Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:Z00-Z99 A00-Y89
(a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
(b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.

Index entries leading here 4

Examination (for) (following) (general) (of) (routine) Z00.00
- annual (adult) (periodic) (physical) Z00.00
  - gynecological Z01.419
    - with abnormal findings Z01.411
- cervical Papanicolaou smear Z12.4
  - as part of routine gynecological examination Z01.419
    - with abnormal findings Z01.411
- gynecological Z01.419
  - with abnormal findings Z01.411
- pelvic (annual) (periodic) Z01.419
  - with abnormal findings Z01.411
Papanicolaou smear, cervix Z12.4
- as part of routine gynecological examination Z01.419
  - with abnormal findings Z01.411
- routine Z01.419
  - with abnormal findings Z01.411
Pelvic — see also condition
- examination (periodic) (routine) Z01.419
  - with abnormal findings Z01.411
Gynecological examination (periodic) (routine) Z01.419
- with abnormal findings Z01.411

Alongside this code 1 same parent — Z01.41

Additional references

AHA Coding Clinic® Licence required

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

Maps to no condition category in any loaded model.

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

Present FY2024–FY2027.