Z12.4

Z12.4: Encounter for screening for malignant neoplasm of cervix

Billable / specific codeICD-10-CMPOA exempt

Z12.4 is a billable, specific ICD-10-CM code for encounter for screening for malignant neoplasm of cervix. It is valid for submission on a claim.

Check Z12.4 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

when screening is part of general gynecological examination (Z01.4-)

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

encounter for screening for human papillomavirus (Z11.51)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Encounter for screening pap smear for malignant neoplasm of cervix

Excludes1 inherited from the categories above Z12.4

A category’s note binds every code beneath it.

Written on Z12: Encounter for screening for malignant neoplasms

encounter for diagnostic examination-code to sign or symptom

Other codes that can never be billed with Z12.4

Their own Excludes1 notes name this code, so the conflict is not listed above.

Z01.41Encounter for routine gynecological examination

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Alphabetic index entries that lead here

Papanicolaou smear, cervix
Admission›Papanicolaou smear, cervix
Examination›cervical Papanicolaou smear
Papanicolaou smear, cervix›for suspected neoplasm
Admission›Papanicolaou smear, cervix›for suspected malignant neoplasm
Screening›neoplasm›cervix
Screening›neoplasm›genitourinary organs NEC›cervix

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under Z12