2020 ICD-10-CM Diagnosis Code Z12.4
- 2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
- 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 Z12.4 became effective on October 1, 2019.
- This is the American ICD-10-CM version of Z12.4 - other international versions of ICD-10 Z12.4 may differ.
Applicable To
- Encounter for screening pap smear for malignant neoplasm of cervix
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as Z12.4. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- when screening is part of general gynecological examination (
ICD-10-CM Diagnosis Code Z01.4
Z01.4-)
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (Z12.4) and the excluded code together.
- encounter for screening for human papillomavirus (
ICD-10-CM Diagnosis Code Z11.51
Z11.51)Encounter for screening for human papillomavirus (HPV)
- 2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
- Applicable To annotations, or
- Code Also annotations, or
- Code First annotations, or
- Excludes1 annotations, or
- Excludes2 annotations, or
- Includes annotations, or
- Note annotations, or
- Use Additional annotations
- Z00-Z99
2020 ICD-10-CM Range Z00-Z99
Factors influencing health status and contact with health services
Factors influencing health status and contact with health servicesNote- Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
- (a) When a person who may or may not be sick encounters the health services for some specific purpose, such as to receive limited care or service for a current condition, to donate an organ or tissue, to receive prophylactic vaccination (immunization), or to discuss a problem which is in itself not a disease or injury.
- (b) When some circumstance or problem is present which influences the person's health status but is not in itself a current illness or injury.
- Z00-Z13
2020 ICD-10-CM Range Z00-Z13
Persons encountering health services for examinations
Persons encountering health services for examinationsNote - Z12
ICD-10-CM Diagnosis Code Z12
Encounter for screening for malignant neoplasms- 2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Applicable To
- Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.
Type 1 Excludes
- encounter for diagnostic examination-code to sign or symptom
Use Additional
- code to identify any family history of malignant neoplasm (Z80.-)
- Papanicolaou smear for cervical cancer screening pap done
- Screening for cervical cancer
- Screening for cervical cancer done
- Screening pap smear exam for cervical cancer
POA Help
"Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are considered POA.
- Z12.4 is considered exempt from POA reporting.
- 951 Other factors influencing health status
Convert Z12.4 to ICD-9-CM
Code History- 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
- 2017 (effective 10/1/2016): No change
- 2018 (effective 10/1/2017): No change
- 2019 (effective 10/1/2018): No change
- 2020 (effective 10/1/2019): No change
Code annotations containing back-references to Z12.4:
- Type 1 Excludes: Z01.41
ICD-10-CM Diagnosis Code Z01.41
- 2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
Applicable To
- Encounter for general gynecological examination with or without cervical smear
- Encounter for gynecological examination (general) (routine) NOS
- Encounter for pelvic examination (annual) (periodic)
Type 1 Excludes
- 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
- Admission (for) - see also Encounter (for)
- Examination (for) (following) (general) (of) (routine) Z00.00
ICD-10-CM Diagnosis Code Z00.00
- 2016 2017 2018 2019 2020 Billable/Specific Code Adult Dx (15-124 years) POA Exempt
Applicable To
- Encounter for adult health check-up NOS
- Papanicolaou smear, cervix Z12.4
- Screening (for) Z13.9
ICD-10-CM Diagnosis Code Z13.9
Encounter for screening, unspecified
- 2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
- neoplasm (malignant) (of) Z12.9
ICD-10-CM Diagnosis Code Z12.9
Encounter for screening for malignant neoplasm, site unspecified
- 2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
- genitourinary organs NEC Z12.79
ICD-10-CM Diagnosis Code Z12.79
Encounter for screening for malignant neoplasm of other genitourinary organs
- 2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt
- cervix Z12.4
-
-
ICD-10-CM Codes Adjacent To Z12.4
Z12.0 Encounter for screening for malignant neoplasm of stomach
Z12.1 Encounter for screening for malignant neoplasm of intestinal tract
Z12.10 …… unspecified
Z12.11 Encounter for screening for malignant neoplasm of colon
Z12.12 Encounter for screening for malignant neoplasm of rectum
Z12.13 Encounter for screening for malignant neoplasm of small intestine
Z12.2 Encounter for screening for malignant neoplasm of respiratory organs
Z12.3 Encounter for screening for malignant neoplasm of breast
Z12.31 Encounter for screening mammogram for malignant neoplasm of breast
Z12.39 Encounter for other screening for malignant neoplasm of breast
Z12.4 Encounter for screening for malignant neoplasm of cervix
Z12.5 Encounter for screening for malignant neoplasm of prostate
Z12.6 Encounter for screening for malignant neoplasm of bladder
Z12.7 Encounter for screening for malignant neoplasm of other genitourinary organs
Z12.71 Encounter for screening for malignant neoplasm of testis
Z12.72 Encounter for screening for malignant neoplasm of vagina
Z12.73 Encounter for screening for malignant neoplasm of ovary
Z12.79 Encounter for screening for malignant neoplasm of other genitourinary organs
Z12.8 Encounter for screening for malignant neoplasm of other sites
Z12.81 Encounter for screening for malignant neoplasm of oral cavity
Z12.82 Encounter for screening for malignant neoplasm of nervous system
Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
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