2026 ICD-10-CM Diagnosis Code Z01.411Encounter for gynecological examination (general) (routine) with abnormal findings
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
Code Classification
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
The “use additional code” indicates that a secondary code could be used to further specify the patient’s condition. This note is not mandatory and is only used if enough information is available to assign an additional code.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Examination (for) (following) (general) (of) (routine) - Z00.00
- annual (adult) (periodic) (physical) - Z00.00
- gynecological - Z01.419
- with abnormal findings - Z01.411
- gynecological - Z01.419
- with abnormal findings - Z01.411
- pelvic (annual) (periodic) - Z01.419
- with abnormal findings - Z01.411
- Papanicolaou smear, cervix - Z12.4
- as part of routine gynecological examination - Z01.419
- with abnormal findings - Z01.411
- with abnormal findings - Z01.411
- Pelvic - See Also: condition;
- examination (periodic) (routine) - Z01.419
- with abnormal findings - Z01.411
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.
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.
Code HistoryHistory
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.
