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Posted By sonia p on 10-02-2018, 11:43:22 in Ob-Gyn
Hi Melanie- pt comes for her annual GYN exam and we can use Z01.419 or Z01.411. Does the abnormal finding have to be GYN related in order to use Z01.411 or can it be ANY abnormal finding in ANY body area/system, etc?

Thanks!
Comments (4)
Posted By sonia p on 10-10-2018, 17:38:25
good point! :) thank you!!
Posted By Melanie Witt on 10-10-2018, 17:37:30
But remember with Medicare you are billing G0101 which includes a breast exam supported by the Z01.41- code they require. So yes, for them, the breast lump is part of their gyn exam.
Posted By sonia p on 10-10-2018, 17:19:41
thank you! One more follow up--- I've seen the example on CMS though where the problem is "lump in breast" and Z01.411 is used. Not pelvic area, but still sort in the realm of GYN I guess?
Posted By Melanie Witt on 10-10-2018, 17:15:43
In my opinion, it should be an abnormal finding related to the pelvic exam as Z01.41- represents that exam, and not a general exam.
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