2026 ICD-10-CM Diagnosis Code Z01.411Encounter for gynecological examination (general) (routine) with abnormal findings

ICD-10-CM CodesZ00–Z99Z00-Z13Z01

ICD-10-CM Z01.411
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

Z01.411 is a billable ICD-10-CM diagnosis code for encounter for gynecological examination (general) (routine) with abnormal findings. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). The code is exempt from POA reporting. Coders also document this condition as gynecological examination abnormal. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Medical examination/evaluation.

This medical diagnosis code is frequently used in OB/GYN medical specialties to designate conditions such general medical and gynecological examinations.

Code Identity

ICD-10-CM Code
Z01.411
Billable Status
Yes — Valid for Submission
Code Describes
Encounter for gynecological examination (general) (routine) with abnormal findings
Short Description
Encntr for gyn exam (general) (routine) w abnormal findings
Parent Code
Encounter for routine gynecological examination

Code Classification

ChapterZ00–Z99Factors influencing health status and contact with health services
SectionZ00-Z13Persons encountering health services for examinations
CategoryZ01Encounter for other special examination without complaint, suspected or reported diagnosis
This CodeZ01.411Encounter for gynecological examination (general) (routine) with abnormal findings

Present on Admission (POA)Billing

Z01.411 is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Gynecological examination abnormal

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Use Additional Code

  • code to identify abnormal findings

Index to Diseases and InjuriesGuidance

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • 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

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR FAC014
Medical examination/evaluation
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Women's Health Checkup

Regular checkups with your health care provider are different from appointments for sickness or injury. Your checkups, which are also called well-woman exams, include physical exams as well as preventive care. They can help find health problems early, when they may be easier to treat.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert Z01.411 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V72.31 Routine gyn examination
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About Z01.411Overview

Is Z01.411 (Encounter for routine gynecological examination) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report encounter for gynecological examination (general) (routine) with abnormal findings on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Is Z01.411 exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for encounter for gynecological examination (general) (routine) with abnormal findings on inpatient claims.

What is the ICD-9 equivalent of Z01.411?

Under the General Equivalence Mappings, encounter for gynecological examination (general) (routine) with abnormal findings converts to ICD-9-CM V72.31 (routine gyn examination). The mapping is approximate, so confirm the match fits the documentation.