Z01.411 ICD-10-CM Code: Encounter for gynecological examination (general) (routine) with abnormal findings
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0 (FY2026), Appendix B.
- MS-DRG 951 — OTHER FACTORS INFLUENCING HEALTH STATUS (MDC 23)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for Z01.411 in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- routine examination of specific system
Excludes1 — Not Coded Here
Conditions that can never be reported with this code; the two are mutually exclusive.
- gynecologic examination status-post hysterectomy for malignant condition (Z08)
- screening cervical pap smear not a part of a routine gynecological examination (Z12.4)
- 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)
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- pregnancy examination or test (Z32.0-)
- routine examination for contraceptive maintenance (Z30.4-)
- encounter for laboratory and radiologic examinations as a component of general medical examinations (Z00.0-)
- screening examinations (Z11-Z13)
- examinations related to pregnancy and reproduction (Z30-Z36, Z39.-)
Use Additional Code
Supplementary codes the tabular list directs you to add.
- Use additional code to identify abnormal findings
- 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-)
Nearest Codes in This Family
Official ICD-10-CM classifications closest to Z01.411 in its code family, with their registry titles.
- Z01.3 — Encounter for examination of blood pressure
- Z01.30 — Encounter for examination of blood pressure without abnormal findings
- Z01.31 — Encounter for examination of blood pressure with abnormal findings
- Z01.4 — Encounter for gynecological examination
- Z01.41 — Encounter for routine gynecological examination
- Z01.419 — Encounter for gynecological examination (general) (routine) without abnormal findings
- Z01.42 — Encounter for cervical smear to confirm findings of recent normal smear following initial abnormal smear
- Z01.8 — Encounter for other specified special examinations
- Z01.81 — Encounter for preprocedural examinations
- Z01.810 — Encounter for preprocedural cardiovascular examination
Indexed Clinical Terms (8)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- Examination (for) (following) (general) (of) (routine), annual (adult) (periodic) (physical), gynecological, with abnormal findings
- Examination (for) (following) (general) (of) (routine), cervical Papanicolaou smear, as part of routine gynecological examination, with abnormal findings
- Examination (for) (following) (general) (of) (routine), gynecological, with abnormal findings
- Examination (for) (following) (general) (of) (routine), pelvic (annual) (periodic), with abnormal findings
- Gynecological examination (periodic) (routine), with abnormal findings
- Papanicolaou smear, cervix, as part of routine gynecological examination, with abnormal findings
- Papanicolaou smear, cervix, routine, with abnormal findings
- Pelvic, examination (periodic) (routine), with abnormal findings