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ICD-10 Guide
ICD-10 CodesZ12.73

Z12.73

Encounter for screening for malignant neoplasm of ovary

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/12/2025

Code Description

ICD-10 Z12.73 is a billable code used to indicate a diagnosis of encounter for screening for malignant neoplasm of ovary.

Key Diagnostic Point:

Z12.73 is used to indicate an encounter for screening for malignant neoplasm of the ovary. This code is crucial for preventive health measures, particularly for women at higher risk of ovarian cancer due to family history or genetic predispositions such as BRCA mutations. Screening can include pelvic examinations, transvaginal ultrasounds, and CA-125 blood tests. Social determinants of health, such as access to healthcare, socioeconomic status, and education, significantly influence the likelihood of women receiving timely screenings. Preventive care is essential in identifying potential malignancies early, which can lead to better outcomes. Regular screenings can help in early detection, thus reducing morbidity and mortality associated with ovarian cancer. Documentation must reflect the patient's risk factors, the type of screening performed, and any follow-up care required.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for accurate documentation of risk factors
  • Variability in screening guidelines based on age and family history
  • Potential for multiple screenings and follow-up visits
  • Integration of social determinants of health in patient assessments

Audit Risk Factors

  • Inadequate documentation of patient risk factors
  • Failure to document the type of screening performed
  • Incorrect sequencing of codes related to screening and diagnosis
  • Lack of follow-up documentation if abnormal results are found

Specialty Focus

Medical Specialties

Primary Care

Documentation Requirements

Document patient history, risk factors, and details of the screening performed.

Common Clinical Scenarios

Routine checkups where screening for ovarian cancer is indicated based on risk factors.

Billing Considerations

Consider social determinants such as access to care and education about ovarian cancer risks.

Public Health

Documentation Requirements

Population-level data on screening rates and outcomes.

Common Clinical Scenarios

Community health initiatives aimed at increasing awareness and screening for ovarian cancer.

Billing Considerations

Focus on tracking health disparities and access to preventive services.

Coding Guidelines

Inclusion Criteria

Use Z12.73 When
  • Z codes are used to indicate encounters for reasons other than illness or injury
  • 73 should be used when a patient is being screened for ovarian cancer without any current diagnosis of the disease
  • It is important to sequence this code appropriately, especially if there are other relevant diagnoses

Exclusion Criteria

Do NOT use Z12.73 When
No specific exclusions found.

Related CPT Codes

88141CPT Code

Pap smear, cervical or vaginal

Clinical Scenario

Used in conjunction with Z12.73 during a comprehensive women's health screening visit.

Documentation Requirements

Document the type of screening performed and results.

Specialty Considerations

Primary care providers should ensure comprehensive documentation of all screenings.

76856CPT Code

Ultrasound, pelvic (non-obstetric), transvaginal

Clinical Scenario

Ordered for patients at high risk for ovarian cancer.

Documentation Requirements

Document the indication for the ultrasound and any findings.

Specialty Considerations

Public health initiatives may track the use of this procedure in screening programs.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding encounters for screening, including Z12.73, which helps in tracking preventive care and outcomes more effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding encounters for screening, including Z12.73, which helps in tracking preventive care and outcomes more effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding encounters for screening, including Z12.73, which helps in tracking preventive care and outcomes more effectively.

Resources

Clinical References

  • •
    Ovarian Cancer Screening Guidelines

Coding & Billing References

  • •
    Ovarian Cancer Screening Guidelines

Frequently Asked Questions

When should Z12.73 be used?

Z12.73 should be used during encounters specifically for screening for ovarian cancer, particularly in patients with risk factors such as family history or genetic predispositions.