ICD-10-CM Codes
Z00-Z99 Factors influencing health status and contact with health services
Z00-Z13 Persons encountering health services for examinations
Z12- Encounter for screening for malignant neoplasms

2018/2019 ICD-10-CM Diagnosis Code Z12.72

Encounter for screening for malignant neoplasm of vagina

2016

2017

2018

2019

Billable/Specific Code

Female Dx

POA Exempt

Z12.72 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 2018/2019 edition of ICD-10-CM Z12.72 became effective on October 1, 2018.
This is the American ICD-10-CM version of Z12.72 - other international versions of ICD-10 Z12.72 may differ.

ICD-10-CM Coding Rules

Z12.72 is applicable to female patients.

Applicable To

Vaginal pap smear status-post hysterectomy for non-malignant condition

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 to identify acquired absence of uterus (
ICD-10-CM Diagnosis Code Z90.71
Acquired absence of cervix and uterus
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 Z12.72. 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.

vaginal pap smear status-post hysterectomy for malignant conditions (
ICD-10-CM Diagnosis Code Z08
Encounter for follow-up examination after completed treatment for malignant neoplasm
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
)

The following code(s) above Z12.72 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 Z12.72:

Z00-Z99
2019 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
2019 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
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

Screening for cancer of the vagina
Screening for vaginal cancer done
Screening pap smear, after hysterectomy, history of dysplasia
Screening vaginal pap smear, after hysterectomy
Vaginal pap to confirm recent normal smear after initial abnormal smear
Vaginal papanicolaou smear after hysterctomy with history of cervical dysplasia done
Vaginal papanicolaou smear after hysterectomy for non-malignant condition done
Vaginal papanicolaou smear for confirmation of recent normal following initial abnormal smear done

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.

Z12.72 is considered exempt from POA reporting.

ICD-10-CM Z12.72 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):

951 Other factors influencing health status

Convert Z12.72 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

Code annotations containing back-references to Z12.72:

Use Additional: Z01.41

ICD-10-CM Diagnosis Code Z01.41
Encounter for routine gynecological examination
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 Z12.72:

Screening (for) Z13.9
ICD-10-CM Diagnosis Code Z13.9
Encounter for screening, unspecified
- neoplasm (malignant) (of) Z12.9
  ICD-10-CM Diagnosis Code Z12.9
  Encounter for screening for malignant neoplasm, site unspecified
  2016 2017 2018 2019 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 Billable/Specific Code POA Exempt
    - vagina Z12.72

ICD-10-CM Codes Adjacent To Z12.72

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

Z12.83 Encounter for screening for malignant neoplasm of skin

Z12.89 Encounter for screening for malignant neoplasm of other sites

Z12.9 Encounter for screening for malignant neoplasm, site unspecified

Z13 Encounter for screening for other diseases and disorders

Z13.0 Encounter for screening for diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism

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

2018/2019 ICD-10-CM Diagnosis Code Z12.72

Encounter for screening for malignant neoplasm of vagina

Acquired absence of cervix and uterus

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

Factors influencing health status and contact with health services

Persons encountering health services for examinations

Encounter for screening for malignant neoplasms

Encounter for routine gynecological examination

Encounter for screening, unspecified

Encounter for screening for malignant neoplasm, site unspecified

Encounter for screening for malignant neoplasm of other genitourinary organs