ICDcodes.org
FY2027

Z01.411Encounter for gynecological examination (general) (routine) with abnormal findings

Billable

Is Z01.411 billable?

Yes — Z01.411 is billable for FY2027. Z01.411 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. Z01.411 may be submitted for encounters from October 1, 2026 through September 30, 2027.

Z01.411 at a glance

CodeZ01.411
DescriptionEncounter for gynecological examination (general) (routine) with abnormal findings
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does Z01.411 group to?

Z01.411 sits in MDC 23 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 951Other Factors Influencing Health Statusmedical

How is Z01.411 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to Z01.411. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Gynecological examinationwith abnormal findings (periodic) (routine)
  • Examinationgynecologicalwith abnormal findings (for) (following) (general) (of) (routine)
  • Examinationpelvicwith abnormal findings (for) (following) (general) (of) (routine)
  • Papanicolaou smear, cervixas part of routine gynecological examinationwith abnormal findings
  • Papanicolaou smear, cervixroutinewith abnormal findings
  • Pelvicexaminationwith abnormal findings
  • Examinationannualgynecologicalwith abnormal findings (for) (following) (general) (of) (routine)
  • Examinationcervical Papanicolaou smearas part of routine gynecological examinationwith abnormal findings (for) (following) (general) (of) (routine)

Use additional code

Report an additional code alongside Z01.411 to fully describe the condition. Z01.411 is sequenced first.

  • code to identify abnormal findings

Excludes1 — never code together — inherited from Z01

The conditions below can never be reported together with Z01.411 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • encounter for examination for administrative purposes (Z02.-)
  • encounter for examination for suspected conditions, proven not to exist (Z03.-)
  • encounter for laboratory, radiologic and imaging examinations for sign(s) and symptom(s) - code to the sign(s) or symptom(s)

Excludes1 — never code together — inherited from Z01.41

The conditions below can never be reported together with Z01.411 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • 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 — inherited from Z01.41

Report an additional code alongside Z01.411 to fully describe the condition. Z01.411 is sequenced first.

  • 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-)

Excludes2 — not included here — inherited from Z00-Z13

The conditions below are not part of Z01.411, but a patient may have both at the same time. When documentation supports it, Z01.411 and the excluded code may both be reported.

  • examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)

Excludes2 — not included here — inherited from Z01

The conditions below are not part of Z01.411, but a patient may have both at the same time. When documentation supports it, Z01.411 and the excluded code may both be reported.

  • encounter for laboratory and radiologic examinations as a component of general medical examinations (Z00.0-)
  • screening examinations (Z11-Z13)

Excludes2 — not included here — inherited from Z01.4

The conditions below are not part of Z01.411, but a patient may have both at the same time. When documentation supports it, Z01.411 and the excluded code may both be reported.

  • pregnancy examination or test (Z32.0-)
  • routine examination for contraceptive maintenance (Z30.4-)

How long has Z01.411 existed?

Z01.411 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

Which conditions are coded to Z01.411?

What other codes are in the Z01.41 family? (1)