2023

  1. ICD-10-CM Codes
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  2. Z00-Z99
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  3. Z00-Z13
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  5. 2023 ICD-10-CM Diagnosis Code Z01.419

2023 ICD-10-CM Diagnosis Code Z01.419

Encounter for gynecological examination (general) (routine) without abnormal findings

    2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Female Dx POA Exempt
  • Z01.419 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Encntr for gyn exam (general) (routine) w/o abn findings
  • The 2023 edition of ICD-10-CM Z01.419 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of Z01.419 - other international versions of ICD-10 Z01.419 may differ.
ICD-10-CM Coding Rules
  • Z01.419 is applicable to female patients.
The following code(s) above Z01.419 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 Z01.419:
  • 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
  • Z01.41
    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
    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)
    Type 1 Excludes
    • gynecologic examination status-post hysterectomy for malignant condition (Z08)
    • screening cervical pap smear not a part of a routine gynecological examination (Z12.4)
    Use Additional
    • 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-)
    Encounter for routine gynecological examination
Approximate Synonyms
  • Exam, routine gyn visit
  • Routine gynecologic examination done
  • Routine gynecological exam done
  • Routine gynecological exam including cervical pap done
  • Well woman exam including screening cervical pap smear
Present On Admission
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
  • Z01.419 is considered exempt from POA reporting.
ICD-10-CM Z01.419 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 951 Other factors influencing health status

Convert Z01.419 to ICD-9-CM

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

Diagnosis Index entries containing back-references to Z01.419:
  • Examination (for) (following) (general) (of) (routine) Z00.00
    ICD-10-CM Diagnosis Code Z00.00

    Encounter for general adult medical examination without abnormal findings

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
    Applicable To
    • Encounter for adult health check-up NOS
    • annual (adult) (periodic) (physical) Z00.00
      ICD-10-CM Diagnosis Code Z00.00

      Encounter for general adult medical examination without abnormal findings

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
      Applicable To
      • Encounter for adult health check-up NOS
    • cervical Papanicolaou smear Z12.4
      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)
    • gynecological Z01.419
    • pelvic (annual) (periodic) Z01.419
  • Gynecological examination (periodic) (routine) Z01.419
  • Papanicolaou smear, cervix Z12.4
    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)
  • Pelvic - see also condition

ICD-10-CM Codes Adjacent To Z01.419
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
Z01.83 Encounter for blood typing
Z01.84 Encounter for antibody response examination

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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