2023 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
  • Z12.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2023 edition of ICD-10-CM Z12.4 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of Z12.4 - other international versions of ICD-10 Z12.4 may differ.
ICD-10-CM Coding Rules
  • Z12.4 is applicable to female patients.
Applicable To
  • Encounter for screening pap smear for malignant neoplasm of cervix
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 Z12.4. 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.
  • when screening is part of general gynecological examination (
    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-)
    Z01.4-
    )
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (Z12.4) and the excluded code together.
  • encounter for screening for human papillomavirus (
    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
    )
The following code(s) above Z12.4 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 Z12.4:
  • 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
  • Z12
    ICD-10-CM Diagnosis Code Z12

    Encounter for screening for malignant neoplasms

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Applicable To
    • Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.
    Type 1 Excludes
    • encounter for diagnostic examination-code to sign or symptom
    Use Additional
    • code to identify any family history of malignant neoplasm (Z80.-)
    Encounter for screening for malignant neoplasms
Approximate Synonyms
  • Papanicolaou smear for cervical cancer screening pap done
  • Screening for cervical cancer
  • Screening for cervical cancer done
  • Screening pap smear exam for cervical cancer
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.
  • Z12.4 is considered exempt from POA reporting.
ICD-10-CM Z12.4 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):
  • 951 Other factors influencing health status

Convert Z12.4 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
Code annotations containing back-references to Z12.4:
  • Type 1 Excludes: 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-)

Diagnosis Index entries containing back-references to Z12.4:
  • Admission (for) - see also Encounter (for)
  • 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
  • Papanicolaou smear, cervix Z12.4
    • for suspected neoplasm Z12.4
  • Screening (for) Z13.9
    ICD-10-CM Diagnosis Code Z13.9

    Encounter for screening, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
    • neoplasm (malignant) (of) Z12.9
      ICD-10-CM Diagnosis Code Z12.9

      Encounter for screening for malignant neoplasm, site unspecified

        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
      • genitourinary organs NEC Z12.79
        ICD-10-CM Diagnosis Code Z12.79

        Encounter for screening for malignant neoplasm of other genitourinary organs

          2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code POA Exempt
        • cervix Z12.4
      • cervix Z12.4

ICD-10-CM Codes Adjacent To Z12.4
Z12.0 Encounter for screening for malignant neoplasm of stomach
Z12.1 Encounter for screening for malignant neoplasm of intestinal tract
Z12.10 …… unspecified
Z12.11 Encounter for screening for malignant neoplasm of colon
Z12.12 Encounter for screening for malignant neoplasm of rectum
Z12.13 Encounter for screening for malignant neoplasm of small intestine
Z12.2 Encounter for screening for malignant neoplasm of respiratory organs
Z12.3 Encounter for screening for malignant neoplasm of breast
Z12.31 Encounter for screening mammogram for malignant neoplasm of breast
Z12.39 Encounter for other screening for malignant neoplasm of breast
Z12.4 Encounter for screening for malignant neoplasm of cervix
Z12.5 Encounter for screening for malignant neoplasm of prostate
Z12.6 Encounter for screening for malignant neoplasm of bladder
Z12.7 Encounter for screening for malignant neoplasm of other genitourinary organs
Z12.71 Encounter for screening for malignant neoplasm of testis
Z12.72 Encounter for screening for malignant neoplasm of vagina
Z12.73 Encounter for screening for malignant neoplasm of ovary
Z12.79 Encounter for screening for malignant neoplasm of other genitourinary organs
Z12.8 Encounter for screening for malignant neoplasm of other sites
Z12.81 Encounter for screening for malignant neoplasm of oral cavity
Z12.82 Encounter for screening for malignant neoplasm of nervous system

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