Complete ICD-10-CM coding and documentation guide for icd-10 coding for gynecological exam includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Gynecological Exam
Use ICD-10 code Z01.419 for encounter for gynecological examination (general) (routine) without abnormal findings, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Abnormal uterine and vaginal bleeding, unspecified
Use when specific abnormal bleeding is noted during the exam.
The ICD-10 code for a routine gynecological exam without abnormal findings is Z01.419. If there are abnormal findings, use Z01.411.
Use Z01.411 when a routine gynecological exam reveals abnormal findings, such as lesions or abnormal bleeding.