Z01.411

Encounter for gynecological examination (general) (routine) with abnormal findings

Billable code

This code does not map to a risk-adjusting HCC in the loaded models.

Coding notes

Excludes 1 never coded together · Excludes 2 may co-exist

This code · Z01.411
Use additional

code to identify abnormal findings

Inherited from Z01.41Encounter for routine gynecological examination
Excludes 1

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: 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-)

Synonyms

Encounter for general gynecological examination with or without cervical smear Encounter for gynecological examination (general) (routine) NOS Encounter for pelvic examination (annual) (periodic)

Inherited from Z01.4Encounter for gynecological examination
Excludes 2

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

Inherited from Z01Encntr for oth sp exam w/o complaint, suspected or reprtd dx
Includes

routine examination of specific system

Excludes 1

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)

Excludes 2

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

Note

Codes from category Z01 represent the reason for the encounter. A separate procedure code is required to identify any examinations or procedures performed

Inherited from Z00-Z13Persons encountering health services for examinations
Excludes 2

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

Note

Nonspecific abnormal findings disclosed at the time of these examinations are classified to categories R70-R94.

Inherited from chapter 21Factors influencing health status and contact with health services
Note

Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways: (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury. (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.

Official Guidelines for Z01.411

FY 2026 ›

Sections that reference Z01.411

Showing 6 of 9. Search the guidelines for Z01. Sections whose FY 2026 text names Z01.411, its Z01 category, or a range containing it — the chapter guidance above is the authoritative source.