2025 ICD-10-CM code O26.23
Care during pregnancy for a patient with a history of recurrent pregnancy loss, specifically during the third trimester.
Medical necessity for this code is established by the diagnosis of recurrent pregnancy loss and the need for specialized care during the third trimester to mitigate risk and optimize pregnancy outcomes.
The obstetrician or other healthcare provider managing the pregnancy is responsible for assigning this code.
- 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 in her third trimester is receiving specialized care due to having lost pregnancies previously.
This code is used to document the management of a pregnancy in a patient who has experienced recurrent pregnancy losses, during the third trimester of the current pregnancy.A recurrent pregnancy loss is defined as two or more consecutive pregnancy losses.
Example 1: A 32-year-old woman in her third trimester presents for a routine prenatal visit. She has a history of two prior miscarriages.The code O26.23 is assigned., A 35-year-old woman is referred to a high-risk obstetrician at 28 weeks gestation due to her history of three previous pregnancy losses. She is currently pregnant and receiving specialized care for this condition. The code O26.23 would be used., A woman presents to the emergency department at 30 weeks gestation with abdominal pain and bleeding. She reports a history of four prior miscarriages. The code O26.23 is assigned in addition to codes for the current presenting symptoms.
Documentation should include the patient's history of recurrent pregnancy loss, the current gestational age (confirming third trimester), and any specific interventions or treatments provided related to the recurrent loss history.
** This code specifically addresses care related to a history of recurrent pregnancy loss. It does not include other complications of pregnancy, which should be coded separately.
- Specialties:Obstetrics, Maternal-Fetal Medicine
- Place of Service:Office, Inpatient Hospital, On Campus-Outpatient Hospital,Outreach Site/Street