2025 ICD-10-CM code Z12.72
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Screening - Persons encountering health services for examinations Chapter 21: Factors influencing health status and contact with health services Feed
Encounter for screening for malignant neoplasm of the vagina.
Modifiers are not applicable to ICD-10 codes.
Medical necessity for vaginal cancer screening is determined based on the patient's age, risk factors (e.g., history of abnormal Pap smears, sexually transmitted infections, or family history of vaginal cancer), and the healthcare provider's assessment.Follow payer guidelines for coverage criteria.
The clinical responsibility for this code lies with the physician or healthcare professional performing the screening examination and interpreting the results. This may involve a gynecologist, family physician, or other qualified healthcare provider.
- Chapter 21: Factors influencing health status and contact with health services
- Z12: Encounter for screening for malignant neoplasm
In simple words: This code is used when a woman goes to the doctor for a test to check for vaginal cancer, even if she doesn't have any symptoms.It's a screening test, like a Pap smear, to look for cancer early.
This ICD-10-CM code signifies an encounter for a screening examination specifically focused on detecting malignant neoplasms (cancer) of the vagina.It is used when a patient presents for a vaginal Pap smear or other screening test for vaginal cancer, in the absence of any signs, symptoms, or a history suggestive of vaginal cancer. The code is applicable to female patients and should be used when the screening is performed for a non-malignant condition.If the hysterectomy was performed for a malignant condition, code Z08 should be used instead.Additional codes may be necessary to specify any related conditions, such as acquired absence of the uterus (Z90.71-).
Example 1: A 50-year-old woman with no history of vaginal cancer or symptoms undergoes a routine Pap smear as part of her annual wellness exam., A 35-year-old woman who has had a hysterectomy for a benign condition undergoes a vaginal Pap smear as part of her annual preventative care., A 62-year-old woman with a history of abnormal Pap smears in the past undergoes a follow-up vaginal Pap smear to monitor for any potential malignancy.
Documentation should include the date of the screening, the type of screening test performed (e.g., Pap smear), the results of the test, and any follow-up recommendations or plans.
** This code is used for screening purposes only. If abnormal findings are present, additional codes should be used to document the specific diagnosis.This code is POA exempt.
- Revenue Code: Revenue codes will vary depending on the payer and the specific services provided.Consult your payer's guidelines for appropriate revenue codes.
- RVU: RVUs are not applicable to ICD-10 codes. RVUs are associated with CPT codes, which represent procedures and services.
- Global Days: Not applicable to ICD-10 codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes.
- Specialties:Gynecology, Family Medicine, Obstetrics
- Place of Service:Office, Outpatient Clinic, Hospital