ICD-10 Z01.411
Billable / SpecificEncounter for gynecological examination (general) (routine) with abnormal findings
About ICD-10-CM Z01.411
ICD-10-CM code Z01.411 represents Encounter for gynecological examination (general) (routine) with abnormal findings. This is a billable/specific code in the Factors Influencing Health Status chapter (block Z01). The 2026 edition of ICD-10-CM Z01.411 became effective on October 1, 2025.
Use Additional Code
When coding Z01.411, also report these additional codes when applicable.
- code to identify abnormal findings
Medicare LCD Coverage for Z01.411
Local Coverage Determinations (LCDs) from CMS MACs that list Z01.411 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing Z01.411.
3 Cigna
1 Aetna
CPT Codes Commonly Billed with Z01.411
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert Z01.411 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| Z01.411 | V7231 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To Z01.411
Other codes in section Z00-Z13 (Persons encountering health services for examinations).
ICD-10 Z01.411, Billing FAQ
Is ICD-10 code Z01.411 billable? +
Yes, Z01.411 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does Z01.411 map to? +
Per CMS GEMs, Z01.411 maps to ICD-9 codes: V7231. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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