Complete ICD-10-CM coding and documentation guide for icd-10 coding for pelvic exam includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Pelvic 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
Screening Papanicolaou smear
Use alongside Z01.419 for Pap smear collection during routine exams.
The ICD-10 code for a routine pelvic exam without abnormal findings is Z01.419.
Use Z01.411 when any abnormal findings are documented during a pelvic exam.