Recurrent pregnancy loss
In Noninflammatory disorders of female genital tract (N80-N98), chapter 14: Diseases of the Genitourinary System
- N96 is billable and valid on claims for FY 2027. If the record has more detail, check the other codes under N80-N98 below.
- As a secondary diagnosis it is not a CC or MCC, so it doesn't raise the MS-DRG payment.
- Doesn't count toward a Medicare Advantage risk score (no HCC in V28).
- AHRQ's Chronic Condition Indicator classes it as chronic: expected to last 12 months or longer and to limit daily life or need ongoing care.
Also indexed as: Abortion, habitual or recurrent; Abortion, habitual or recurrent, without current pregnancy; Loss, pregnancy, recurrent; Loss, pregnancy, recurrent, without current pregnancy
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Instructional notes
Includes: conditions that are coded here
- Investigation or care in a nonpregnant woman with history of recurrent pregnancy loss
Excludes1: not coded here, use a different code
- recurrent pregancy loss with current pregnancy (O26.2-)
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers chronic kidney disease staging, CKD in kidney transplant patients, and sequencing CKD with related conditions such as diabetes and hypertension.
- Chronic kidney disease (page 62)
Other codes under N80-N98
Noninflammatory disorders of female genital tract (N80-N98)
- N80Endometriosis
- N81Female genital prolapse
- N82Fistulae involving female genital tract
- N83Noninflammatory disorders of ovary, fallopian tube and broad ligament
- N84Polyp of female genital tract
- N85Other noninflammatory disorders of uterus, except cervix
- N86Erosion and ectropion of cervix uteri
- N87Dysplasia of cervix uteri
- N88Other noninflammatory disorders of cervix uteri
- N89Other noninflammatory disorders of vagina
- N90Other noninflammatory disorders of vulva and perineum
- N91Absent, scanty and rare menstruation
- N92Excessive, frequent and irregular menstruation
- N93Other abnormal uterine and vaginal bleeding
- N94Pain and other conditions associated with female genital organs and menstrual cycle
- N95Menopausal and other perimenopausal disorders
- N96Recurrent pregnancy loss(this code)
- N97Female infertility
- N98Complications associated with artificial fertilization
N96 MS-DRGs
As the principal diagnosis, N96 groups to MS-DRG 742, 743, 760, or 761 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
Related conditions
Grouped by AHRQ's Clinical Classifications Software Refined (CCSR), which sorts every diagnosis code into clinically meaningful categories.
N96 is in Other specified female genital disorders (GEN025, its default category), with 106 codes. Others in it:
- B37.31 Acute candidiasis of vulva and vagina
- B37.32 Chronic candidiasis of vulva and vagina
- N82.0 Vesicovaginal fistula
- N82.1 Other female urinary-genital tract fistulae
- N82.2 Fistula of vagina to small intestine
- N82.3 Fistula of vagina to large intestine
- N82.4 Other female intestinal-genital tract fistulae
- N82.5 Female genital tract-skin fistulae
Other codes that refer to N96
Notes on these codes point to N96.
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Miscarriage
A miscarriage is an unexpected loss of pregnancy before the 20th week. Most miscarriages happen very early in the pregnancy, often before a woman even knows she is pregnant.
Read more about miscarriage on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
ICD-9-CM equivalent
Legacy crosswalk from the CMS General Equivalence Mappings (last updated 2018).
- 629.81 Recurrent pregnancy loss without current pregnancy