2023

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  5. 2023 ICD-10-CM Diagnosis Code Z01.41

2023 ICD-10-CM Diagnosis Code Z01.41

Encounter for routine gynecological examination

    2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
  • Z01.41 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2023 edition of ICD-10-CM Z01.41 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of Z01.41 - other international versions of ICD-10 Z01.41 may differ.
Applicable To
  • 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
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code:
  • for screening for human papillomavirus, if applicable, (
    ICD-10-CM Diagnosis Code Z11.51

    Encounter for screening for human papillomavirus (HPV)

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
    Z11.51
    )
  • for screening vaginal pap smear, if applicable (
    ICD-10-CM Diagnosis Code Z12.72

    Encounter for screening for malignant neoplasm of vagina

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx POA Exempt
    Applicable To
    • Vaginal pap smear status-post hysterectomy for non-malignant condition
    Type 1 Excludes
    • vaginal pap smear status-post hysterectomy for malignant conditions (Z08)
    Use Additional
    • code to identify acquired absence of uterus (Z90.71-)
    Z12.72
    )
  • to identify acquired absence of uterus, if applicable (
    ICD-10-CM Diagnosis Code Z90.71

    Acquired absence of cervix and uterus

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Z90.71-
    )
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as Z01.41. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • gynecologic examination status-post hysterectomy for malignant condition (
    ICD-10-CM Diagnosis Code Z08

    Encounter for follow-up examination after completed treatment for malignant neoplasm

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
    Applicable To
    • Medical surveillance following completed treatment
    Type 1 Excludes
    • aftercare following medical care (Z43-Z49, Z51)
    Use Additional
    • code to identify any acquired absence of organs (Z90.-)
    Z08
    )
  • screening cervical pap smear not a part of a routine gynecological examination (
    ICD-10-CM Diagnosis Code Z12.4

    Encounter for screening for malignant neoplasm of cervix

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx POA Exempt
    Applicable To
    • Encounter for screening pap smear for malignant neoplasm of cervix
    Type 1 Excludes
    • when screening is part of general gynecological examination (Z01.4-)
    Type 2 Excludes
    • encounter for screening for human papillomavirus (Z11.51)
    Z12.4
    )
The following code(s) above Z01.41 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to Z01.41:
  • Z00-Z99
    2023 ICD-10-CM Range Z00-Z99

    Factors influencing health status and contact with health services

    Note
    • 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:
    • (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.
    Factors influencing health status and contact with health services
  • Z00-Z13
    2023 ICD-10-CM Range Z00-Z13

    Persons encountering health services for examinations

    Note
    • Nonspecific abnormal findings disclosed at the time of these examinations are classified to categories R70-R94.
    Type 1 Excludes
    • examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)
    Persons encountering health services for examinations
  • Z01
    ICD-10-CM Diagnosis Code Z01

    Encounter for other special examination without complaint, suspected or reported diagnosis

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Includes
    • routine examination of specific system
    Note
    • Codes from category Z01 represent the reason for the encounter. A separate procedure code is required to identify any examinations or procedures performed
    Type 1 Excludes
    • encounter for examination for administrative purposes (Z02.-)
    • encounter for examination for suspected conditions, proven not to exist (Z03.-)
    • encounter for laboratory and radiologic examinations as a component of general medical examinations (Z00.0-)
    • encounter for laboratory, radiologic and imaging examinations for sign(s) and symptom(s) - code to the sign(s) or symptom(s)
    Type 2 Excludes
    • screening examinations (Z11-Z13)
    Encounter for other special examination without complaint, suspected or reported diagnosis
  • Z01.4
    ICD-10-CM Diagnosis Code Z01.4

    Encounter for gynecological examination

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • pregnancy examination or test (Z32.0-)
    • routine examination for contraceptive maintenance (Z30.4-)
    Encounter for gynecological examination
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
ICD-10-CM Codes Adjacent To Z01.41
Z01.110 Encounter for hearing examination following failed hearing screening
Z01.118 Encounter for examination of ears and hearing with other abnormal findings
Z01.12 Encounter for hearing conservation and treatment
Z01.2 Encounter for dental examination and cleaning
Z01.20 …… without abnormal findings
Z01.21 …… with abnormal findings
Z01.3 Encounter for examination of blood pressure
Z01.30 …… without abnormal findings
Z01.31 …… with abnormal findings
Z01.4 Encounter for gynecological examination
Z01.41 Encounter for routine gynecological examination
Z01.411 Encounter for gynecological examination (general) (routine) with abnormal findings
Z01.419 Encounter for gynecological examination (general) (routine) without abnormal findings
Z01.42 Encounter for cervical smear to confirm findings of recent normal smear following initial abnormal smear
Z01.8 Encounter for other specified special examinations
Z01.81 Encounter for preprocedural examinations
Z01.810 Encounter for preprocedural cardiovascular examination
Z01.811 Encounter for preprocedural respiratory examination
Z01.812 Encounter for preprocedural laboratory examination
Z01.818 Encounter for other preprocedural examination
Z01.82 Encounter for allergy testing

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

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