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N96

Billable

Recurrent pregnancy loss

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A pattern of losing pregnancies repeatedly, typically defined as three or more consecutive pregnancy losses.

Coding Tips

  • Document the number of consecutive losses and whether they are early or late losses
  • Ensure investigation for underlying causes (genetic, hormonal, anatomical, or immunological) is documented

Excludes 1 — Do NOT code together

  • recurrent pregancy loss with current pregnancy (O26.2-)

Code Hierarchy

N96Recurrent pregnancy loss
N96Recurrent pregnancy loss

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