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Well Woman ICD 10 & CPT (2022)

The ICD 10 for Well Woman Exam and the CPT for Well Woman Exam can be found at the end of this article. First we’ll explain what ‘well woman exam’ is, secondly the modifier that can be used for Well Woman Exam’, thirdly the Well Woman Exam CPT Code and the article ends with Well Woman Exam ICD 10.

Description Of Well Woman Exam

HMSA plans require every woman to have at least one gynecological exam per calendar year. This can include a pelvic exam, a clinical breast exam, taking a sample and / or a Pap smear when screening is carried out.

A well-woman exam is billed when a patient sees a doctor for a routine annual gynaecological exam. If a patient has gynaecological symptoms (e.g. Dysmenorrhea), the doctor will evaluate and administer the E & M visit, which will be billed directly.

Do not count on laboratory services associated with a Pap smear unless you have a CLIA-approved lab in your office that provides these services.

If the sample is sent to an external laboratory, this laboratory will be accounted for under HMSA.

Modifier For Well Woman

Append the modifier 25 to the appropriate office E&M CPT 99201CPT 99215. When a patient is seen for a physical and a screening Pap smear is collected at the time, code the E&M and Pap collection HCPCS code Q0091 (Screening Papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory).

Well Women Exam CPT Code

CPT G0101 may be used to report Well Woman Exam. The description of the CPT code for Well woman is as follows:

“Cervical or vaginal cancer screening; pelvic and clinical breast exam.”

Well Woman Exam ICD 10

Well Woman Exam ICD 10 codes are Z01.411 and Z01.419. The description of the ICD 10 codes for Well woman can be found underneath.

Z01.411: Encounter for gynecological examination (general) (routine) with abnormal findings.

Z01.419: Encounter for gynecological examination (general) (routine) without abnormal findings.

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