2025 ICD-10-CM code N96
Recurrent pregnancy loss. Investigation and care in a nonpregnant woman with a history of recurrent pregnancy loss.
Medical necessity is established by the patient's history of recurrent pregnancy loss and the need for investigation and/or treatment to improve future pregnancy outcomes.
The physician is responsible for investigating the cause of the recurrent pregnancy loss and providing appropriate care. This may include a physical exam, blood tests, genetic testing, imaging studies, and counseling.
In simple words: This code is used when a woman who is not currently pregnant has had two or more miscarriages and is seeking medical care or investigation related to this.
Recurrent pregnancy loss is defined as two or more failed pregnancies. This code is used for the investigation and care of a nonpregnant woman with a history of recurrent pregnancy loss.
Example 1: A 35-year-old female presents to her gynecologist with a history of three consecutive miscarriages. She is currently not pregnant and desires to conceive in the future. The physician orders blood tests and genetic testing to investigate the cause of her recurrent pregnancy losses. Code N96 is used., A 28-year-old female has experienced two spontaneous abortions in the past. She is currently not pregnant but is undergoing testing to determine a possible cause for her recurrent pregnancy losses. Code N96 is assigned., A 32-year-old woman visits a fertility specialist due to a history of multiple miscarriages. She is not currently pregnant. The specialist reviews her medical history and recommends further testing for potential underlying causes of recurrent pregnancy loss. Code N96 is reported.
Documentation should include the patient's history of pregnancy losses, including the gestational age at the time of each loss. Any relevant diagnostic testing results, such as blood work, genetic testing, or imaging studies, should also be documented.
** Excludes1: recurrent pregnancy loss with current pregnancy (O26.2-)Excludes2: certain conditions originating in the perinatal period (P04-P96)certain infectious and parasitic diseases (A00-B99)complications of pregnancy, childbirth and the puerperium (O00-O9A)congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)endocrine, nutritional and metabolic diseases (E00-E88)injury, poisoning and certain other consequences of external causes (S00-T88)neoplasms (C00-D49)symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- Specialties:Obstetrics and Gynecology, Reproductive Endocrinology, Maternal-Fetal Medicine
- Place of Service:Office, Outpatient Hospital, Clinic