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Wiki What constitutes Z01.411?

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KatieO76

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What determines the diagnosis to be abnormal vs. normal? Literature to reference would be perfect!
 
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KatieO76 said:
What determines the diagnosis to be abnormal vs. normal? Literature to reference would be perfect!
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Abnormal is anything the MD documents as abnormal during the exam. Some have argued that it must be a GYN problem and others that it can be any abnormal finding (like a high blood pressure reading). My take is that it should be gyn related as the code is describing a gyn exam with an abnormal finding. This is nowhere documented, just my best judgement.
 
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