Skip to content
Dx

ICD-10-CM 2027 diagnosis code

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

✓ Billable / specificPOA exemptFemale only

Z01.411 is a valid, billable ICD-10-CM code for encounter for gynecological examination (general) (routine) with abnormal findings. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Encntr for gyn exam (general) (routine) w abnormal findings

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About Z01.411

Z01.411 is the ICD-10-CM diagnosis code for encounter for gynecological examination (general) (routine) with abnormal findings. It belongs to category Z01 (encounter for other special examination without complaint, suspected or reported diagnosis), block Z00-Z13 (persons encountering health services for examinations) and chapter 21 (factors influencing health status and contact with health services). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within Z01.41 (encounter for routine gynecological examination), Z01.411 is specifically for encounter for gynecological examination (general) (routine) with abnormal findings. Related codes cover without abnormal findings (Z01.419).

Use an additional code to identify abnormal findings.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 951 (Other Factors Influencing Health Status, relative weight 0.5577), in MDC 23 (Factors Influencing Health Status and Other Contacts with Health Services), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It is on the CMS list of diagnoses consistent only with female patients (the sex-conflict edit itself was retired in FY2025).

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as V72.31 (routine gynecological examination).

Coding notes

Use additional codeAdd a secondary code to fully describe the condition
  • code to identify abnormal findings

Notes that apply from higher levels

Instructions written at a parent level also apply to Z01.411.

› From Z01.41 Encounter for routine gynecological examination
Excludes1
  • 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
  • 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-)
› From Z01.4 Encounter for gynecological examination
Excludes2
  • pregnancy examination or test (Z32.0-)
  • routine examination for contraceptive maintenance (Z30.4-)
› From Z01 Encounter for other special examination without complaint, suspected or reported diagnosis
Note
  • Codes from category Z01 represent the reason for the encounter. A separate procedure code is required to identify any examinations or procedures performed
Includes
  • routine examination of specific system
Excludes1
  • 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
  • encounter for laboratory and radiologic examinations as a component of general medical examinations (Z00.0-)
  • screening examinations (Z11-Z13)

Broader instructions also apply from Z00-Z13 Persons encountering health services for examinations and Chapter 21: Factors influencing health status and contact with health services.

Alphabetic index entries

8 entries

Terms in the official ICD-10-CM index that lead to Z01.411.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

MDC 23 · Factors Influencing Health Status and Other Contacts with Health Services

ICD-9-CM equivalent

Converter →
  • V72.31Routine gynecological examinationapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about Z01.411

Is Z01.411 billable?

Yes. Z01.411 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can Z01.411 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict Z01.411 as a principal diagnosis.

Is Z01.411 a CC or MCC?

No. Z01.411 is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does Z01.411 group to?

Z01.411 is used in the MS-DRG v44.0 logic for MS-DRG 951 (Other Factors Influencing Health Status). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for Z01.411?

The CMS General Equivalence Mappings map Z01.411 to ICD-9-CM V72.31.