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Wiki Z01.419 or Z00.00

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MarieL

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We are having a discussion at my work place between coders.

If a patient is seen by a GYN provider and he does a complete (head to toe) exam would the correct ICD 10 code be Z00.00 (general adult exam) or Z01.419 (GYN exam).

I would think if the provider is only doing a breast exam and pelvic with or without it would be appropriate to use the Z01.419. If they are performing a head to toe then the Z00.00 would be appropriate .

I appreciate any feedback ...
 
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