2025 ICD-10-CM code O26.22
Pregnancy care for patient with recurrent pregnancy loss, second trimester.
The medical necessity for using O26.22 is based on the patient's history of recurrent pregnancy loss. This history puts the patient at higher risk for another miscarriage, necessitating specialized care and monitoring during the pregnancy.
The physician is responsible for providing comprehensive prenatal care tailored to the patient's history of recurrent pregnancy loss. This may include more frequent monitoring, additional diagnostic tests, and emotional support.
- Chapter 15: Pregnancy, childbirth and the puerperium
- Other maternal disorders predominantly related to pregnancy (O20-O29)
In simple words: This code indicates that a pregnant woman is receiving care during the second trimester of her pregnancy due to having experienced multiple miscarriages previously.
This code describes the care provided to a pregnant woman during her second trimester (14 weeks 0 days to less than 28 weeks 0 days) who has a history of two or more failed pregnancies.
Example 1: A 32-year-old female, G3P0, presents for her 16-week prenatal visit. She has a history of two prior miscarriages, one at 8 weeks and another at 10 weeks. The current pregnancy is progressing normally so far. O26.22 is used to indicate her history of recurrent pregnancy loss and the need for specialized care during the second trimester., A woman with recurrent pregnancy loss who had previously given birth is seen for her routine check up at 22 weeks of gestation. She had an early ultrasound at 6 weeks which confirmed fetal cardiac activity, this appointment is her second visit for ultrasound imaging and general pregnancy care. , A 28-year-old female, G2P0, presents for an ultrasound at 20 weeks gestation. She has a history of two previous pregnancy losses, one at 6 weeks and the other at 12 weeks. The ultrasound reveals a normal fetus with no apparent abnormalities. O26.22 is used to document her history of recurrent pregnancy loss. Ultrasound is used to look for abnormalities which could cause loss of pregnancy.
Documentation should include details about the previous pregnancy losses, including gestational age at the time of loss, any identified causes, and treatments received. The current pregnancy should be well-documented, including ultrasound findings, fetal growth, and any complications.
** It's important to note that while this code reflects the patient's history, it doesn't necessarily indicate a current problem with the pregnancy. It highlights the need for increased monitoring and care due to the elevated risk.The code is specific to the second trimester. Different codes would be used for care related to recurrent pregnancy loss in the first (O26.21-) or third (O26.23-) trimesters.
- Specialties:Obstetrics and Gynecology, Maternal-Fetal Medicine
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital (in case of hospital admission for pregnancy related complications)