What does without abnormal findings mean?

Asked By: Mazhar Warrings | Last Updated: 25th April, 2020
Category: medical health medical tests
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For example, if no abnormal findings were found during the examination, but the encounter is being coded before test results are back, it is acceptable to assign the code for “without abnormal findings.” When assigning a code for “with abnormal findings,” additional code(s) should be assigned to identify the specific

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In this regard, what does encounter for gynecological examination without abnormal finding mean?

Encounter for gynecological examination (general) (routine) without abnormal findings Use this code if pap smear is a part of a routine gynecological examination. Z00.00. Encounter for general adult medical examination without. abnormal findings Added concept of whether abnormal findings are present.

Similarly, what is the difference between z00 00 and z00 01? A: Z00. 00 (Encounter for general adult medical examination without abnormal findings) would be appropriate since there are no new findings at the visit.

Regarding this, what does encounter for routine child health examination with abnormal findings mean?

Encounter for routine child health examination with abnormal findings. Z00. 121 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is Encntr?

Code Z00. 00, Encounter for general adult medical examination, is listed as the reason for the encounter because there are no presenting symptoms and the X-ray was not performed to rule out any suspect disease.

33 Related Question Answers Found

What is the correct diagnostic code for a routine gynecological examination without abnormal findings?

419, Encounter for gynecological examination (general) (routine) without abnormal findings, may be used as the ICD-10-CM diagnosis code for the annual exam performed by an ob-gyn.

What does z01 411 mean?

Z01. 411 is a billable ICD code used to specify a diagnosis of encounter for gynecological examination (general) (routine) with abnormal findings.

What is the diagnosis code for well woman exam?

Claims Filing Instructions
ICD-10 Description
Z01.411 Encounter for gynecological examination (general) (routine) with abnormal findings
Z01.419 Encounter for gynecological examination (general) (routine) without abnormal findings

What is Encounter for screening for malignant neoplasm of cervix?

Encounter for screening for malignant neoplasm of cervix
Z12. 4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM Z12.

What is diagnosis z01419?


Z01. 419 is a billable ICD code used to specify a diagnosis of encounter for gynecological examination (general) (routine) without abnormal findings. A 'billable code' is detailed enough to be used to specify a medical diagnosis.

Do I need an annual GYN exam?

Why Women Need Annual GYN Exams. As cervical cancer screening recommendations have changed in the last few years, women were thrilled to learn they no longer needed a Pap smear every year. Even if you only need that test once every 3 to 5 years, you should still visit your gynecology provider annually!

What is CPT code g0101?

The copayment/co-insurance and deductible are waived for both services. G0101 is defined as: Cervical or vaginal cancer screening; pelvic and clinical breast examination. Q0091 is defined as: Screening Papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory.

Can z00 00 and z01 419 be billed together?

Well, ICD Z01. 419 is for Encounter of gynecological examination without abnormal findings, whereas Z00. 01 is for Encounter for general adult medical examination with abnormal findings. It is not feasible to bill both the codes together as one is for normal and other is for abnormal finding.

What does initial encounter mean in medical terms?

Initial Encounter:
7th character “A”, initial encounter is used while the patient is receiving active treatment for the condition. Examples of active treatment are: surgical treatment, emergency department encounter, and evaluation and continuing treatment by the same or a different physician.

How many diagnosis codes are allowed on an encounter?


Each procedure code on the encounter can have a maximum of four diagnosis codes, so this method adds two additional service lines and divides the 12 diagnosis codes between the three lines of service.

What does encounter diagnosis mean?

Definition: A list of all conditions co-existing at the time of the episode that effect the treatment received or LOS. A condition of sufficient signficance to warrant inclusion for investigative medical studies.

Can z09 be used as primary diagnosis?

Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm. Z09 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM Z09 became effective on October 1, 2019.

Can sequela diagnosis be primary?

Rationale: Scar contractures due to burn injury are reported with code L90. 5 that is the first-listed or principal diagnosis and the burn injury is reported as a secondary code to identify the cause of the sequela.

Can z23 be used as a primary diagnosis?

Z23 is not acceptable as a first-listed diagnosis for an Inpatient facility claim. Z23 may be used as a primary diagnosis for immunizations in the OP and physician setting.

What Z code is used to represent an encounter for a routine child health examination with abnormal findings?


Z00. 121 is a billable ICD code used to specify a diagnosis of encounter for routine child health examination with abnormal findings.

How do you code a medical diagnosis?

Diagnosis Coding
  1. Select the diagnosis code with the highest number of digits available to describe the patient's condition.
  2. Do not add zeros after the decimal to artificially create up to the fifth or seventh digit.
  3. List a secondary diagnosis only when it has a bearing on the patient's current medical condition and treatment.

Can you bill Z codes?

They can be billed as first-listed codes in specific situations, like aftercare and administrative examinations, or used as secondary codes.