Recurrent Pregnancy Loss ICD-10-CM Coding & Reimbursement

ICD-10-CM Code For Recurrent Pregnancy Loss: Group Overview

The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group N96 includes diagnoses for recurrent pregnancy loss such as recurrent spontaneous abortion and habitual abortion, covering repeated early pregnancy failures and related clinical scenarios. These ICD-10-CM diagnosis codes are used to document recurrent miscarriages, capture severity and frequency of pregnancy loss, and record associated reproductive system involvement relevant to obstetric care. Accurate coding within the ICD-10-CM N96 group supports proper claim adjudication and complete clinical documentation for reproductive health services.

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ICD-10-CM N96: Recurrent Pregnancy Loss Overview

The ICD-10-CM N96 group represents diagnoses for recurrent pregnancy loss, including habitual abortion and recurrent spontaneous abortion, targeting the female reproductive system and early pregnancy outcomes. These codes capture repeated pregnancy failures and related complications that affect obstetric management. Accurate coding matters for appropriate claim adjudication and to ensure clinical records reflect reproductive history for care coordination and coverage decisions.

ICD-10-CM Code	Description
N96	Recurrent pregnancy loss

ICD-10-CM Code

Description

N96

Recurrent pregnancy loss

DRG Code	Description
742	Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC
743	Uterine and Adnexa Procedures for Non-Malignancy without CC/MCC
760	Menstrual and Other Female Reproductive System Disorders with CC/MCC
761	Menstrual and Other Female Reproductive System Disorders without CC/MCC

DRG Code

Description

742

Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC

743

Uterine and Adnexa Procedures for Non-Malignancy without CC/MCC

760

Menstrual and Other Female Reproductive System Disorders with CC/MCC

761

Menstrual and Other Female Reproductive System Disorders without CC/MCC

Typical Clinical Scenarios

A 32-year-old woman with a history of three consecutive first-trimester miscarriages presents to a reproductive endocrinology clinic for evaluation after trying to conceive for two years; workup includes karyotype testing, antiphospholipid antibody panel, uterine imaging, and review of previous pregnancy losses. A diagnosis from this group is assigned to document recurrent spontaneous pregnancy loss as the primary reproductive problem prompting evaluation and management. Typical codes: N96
A 29-year-old woman is seen in the emergency department with vaginal bleeding and pelvic cramping at 10 weeks’ gestation; chart review reveals two prior consecutive pregnancy losses earlier in the first trimester, and the current event raises concern for another miscarriage. The recurrent history is recorded to reflect increased risk and to guide obstetric follow-up and referral for specialized care. Typical codes: N96
A 38-year-old woman with secondary infertility and a history of four prior pregnancy losses over several years presents to a fertility clinic for assisted reproductive planning; multidisciplinary team documents the pattern of recurrent pregnancy loss as a comorbid factor affecting counseling, diagnostic testing, and treatment decisions. Typical codes: N96

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

ICD-10-CM Code	Description
N96	Recurrent pregnancy loss

DRG Code	Description
742	Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC
743	Uterine and Adnexa Procedures for Non-Malignancy without CC/MCC
760	Menstrual and Other Female Reproductive System Disorders with CC/MCC
761	Menstrual and Other Female Reproductive System Disorders without CC/MCC

A 32-year-old woman with a history of three consecutive first-trimester miscarriages presents to a reproductive endocrinology clinic for evaluation after trying to conceive for two years; workup includes karyotype testing, antiphospholipid antibody panel, uterine imaging, and review of previous pregnancy losses. A diagnosis from this group is assigned to document recurrent spontaneous pregnancy loss as the primary reproductive problem prompting evaluation and management. Typical codes: N96
A 29-year-old woman is seen in the emergency department with vaginal bleeding and pelvic cramping at 10 weeks’ gestation; chart review reveals two prior consecutive pregnancy losses earlier in the first trimester, and the current event raises concern for another miscarriage. The recurrent history is recorded to reflect increased risk and to guide obstetric follow-up and referral for specialized care. Typical codes: N96
A 38-year-old woman with secondary infertility and a history of four prior pregnancy losses over several years presents to a fertility clinic for assisted reproductive planning; multidisciplinary team documents the pattern of recurrent pregnancy loss as a comorbid factor affecting counseling, diagnostic testing, and treatment decisions. Typical codes: N96

ICD-10-CM Code For Recurrent Pregnancy Loss: Group Overview

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ICD-10-CM N96: Recurrent Pregnancy Loss Overview

ICD-10-CM Code For Recurrent Pregnancy Loss: Group Overview

Sign up for ICD-10-CM Code For Recurrent Pregnancy Loss: Group Overview policy alerts

ICD-10-CM N96: Recurrent Pregnancy Loss Overview

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

ICD-10-CM Code For Recurrent Pregnancy Loss: Group Overview

Sign up for ICD-10-CM Code For Recurrent Pregnancy Loss: Group Overview policy alerts

ICD-10-CM N96: Recurrent Pregnancy Loss Overview

ICD-10-CM Code For Recurrent Pregnancy Loss: Group Overview

Sign up for ICD-10-CM Code For Recurrent Pregnancy Loss: Group Overview policy alerts

ICD-10-CM N96: Recurrent Pregnancy Loss Overview

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What diagnoses does the ICD-10-CM group `N96` represent?

How are `N96` codes used in clinical documentation and billing?

Which related DRGs may be associated with `N96`-coded cases?

Does `N96` cover both early pregnancy failures and other related clinical scenarios?

Why is accurate selection of `N96` codes important for providers and payers?

References

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

What diagnoses does the ICD-10-CM group `N96` represent?

How are `N96` codes used in clinical documentation and billing?

Which related DRGs may be associated with `N96`-coded cases?

Does `N96` cover both early pregnancy failures and other related clinical scenarios?

Why is accurate selection of `N96` codes important for providers and payers?

References