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Question Z01.149 vs Z01.141

jlwhalley

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Looking for clarification on the posting of annual codes with no abnormal and abnormal findings. I know that an "abnormal finding" is a newly discovered condition, or a known/chronic condition that his uncontrolled or exacerbated. What I'm specifically looking for is when to use the Z01.141 code... Would abnormal be considered only if the condition is related to the reproductive/gynecological system? Or does this code include other abnormal health problems such as uncontrolled HTN? For example, if a patient has an annual exam with a pap smear (with no abnormal findings related to that system) but discusses uncontrolled HTN, would that be the abnormal code still?
On that note, would obesity be considered an abnormal finding for either Z00.00 OR Z01.149? I am finding differing answers on whether obesity constitutes an abnormal annual code, and some of my coworkers and I are coming up with contradicting answers and would appreciate some clarification to settle this!

Thanks in advance!
 
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