ICD-10 Code for Papanicolaou smear
The ICD-10-CM code for papanicolaou smear is Z12.4 — Encounter for screening for malignant neoplasm of cervix. This is the code the Alphabetic Index gives for papanicolaou smear with no further qualifier, valid for FY2027 (October 1, 2026 – September 30, 2027).
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Which papanicolaou smear code should you use?
The Alphabetic Index lists 4 codes under Papanicolaou smear, cervix. Which one applies depends on the qualifier documented in the record — the type, site, cause, or associated condition. Find the qualifier below, then verify the code in the Tabular List before using it.
By type
| as part of routine gynecological examination | Z01.419 | Encounter for gynecological examination (general) (routine) without abnormal findings | |
| for suspected neoplasm | Z12.4 | Encounter for screening for malignant neoplasm of cervix | |
| nonspecific abnormal finding | R87.619 | Unspecified abnormal cytological findings in specimens from cervix uteri | |
| routine | Z01.419 | Encounter for gynecological examination (general) (routine) without abnormal findings |
Papanicolaou smear as part of routine gynecological examination
| with abnormal findings | Z01.411 | Encounter for gynecological examination (general) (routine) with abnormal findings |
Papanicolaou smear routine
| with abnormal findings | Z01.411 | Encounter for gynecological examination (general) (routine) with abnormal findings |
Index terms and codes are reproduced from the official ICD-10-CM FY2027 release. The Alphabetic Index is a finding aid — a code must always be verified in the Tabular List before it is reported. Data sources