Complete ICD-10-CM coding and documentation guide for icd-10 coding for annual gynecology exam includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Annual Gynecology Exam
Use ICD-10 code Z01.419 for encounter for gynecological examination (general) without abnormal findings, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Encounter for screening for malignant neoplasm of cervix
Use when a Pap smear is performed during the exam.
Unspecified lump in breast
Use if a breast lump is detected during the exam.
The ICD-10 code for a routine annual gynecology exam without abnormal findings is Z01.419.
Use Z01.411 when there are abnormal findings during the gynecological exam, such as a breast lump or irregular bleeding.