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Home/Diagnosis/ICD-10 Coding for Recurrent Pregnancy Loss

ICD-10 Coding for Recurrent Pregnancy Loss

O26.21
O26.22
D68.69

Complete ICD-10-CM coding and documentation guide for icd-10 coding for recurrent pregnancy loss includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Habitual Abortion
Recurrent Miscarriage
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Key Information: ICD-10 Coding for Recurrent Pregnancy Loss

Essential facts and insights about ICD-10 Coding for Recurrent Pregnancy Loss

Use ICD-10 code O26.21 for pregnancy care for recurrent pregnancy loss, first trimester, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pregnancy care for recurrent pregnancy loss, first trimester

Billable Code
O26.21
Billable

Diagnostic Criteria

  • • Two or more consecutive first-trimester losses

Applicable To

  • • Two or more consecutive losses before 13 weeks 6 days

Important Notes

  • • Ensure documentation includes the number and gestational age of losses.

Pregnancy care for recurrent pregnancy loss, second trimester

Billable Code
O26.22
Billable

Diagnostic Criteria

  • • Two or more consecutive second-trimester losses

Applicable To

  • • Two or more consecutive losses between 14 weeks 0 days and 19 weeks 6 days

Important Notes

  • • Ensure documentation includes the number and gestational age of losses.

Other thrombophilia

Billable Code
D68.69
Billable

Diagnostic Criteria

  • • Thrombophilia confirmed by laboratory testing

Applicable To

  • • Thrombophilia confirmed by laboratory testing

Important Notes

  • • Ensure lab results are documented to support the use of this code.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z31.83

Encounter for genetic testing for procreative management

Use when genetic testing is ordered as part of the RPL workup.

Frequently Asked Questions

What is the ICD-10 code for recurrent pregnancy loss?

The ICD-10 code for recurrent pregnancy loss is O26.2, with subcodes for different trimesters: O26.21 for the first trimester and O26.22 for the second trimester.

When should O26.21 be used?

Use O26.21 for patients with a history of two or more consecutive first-trimester pregnancy losses, confirmed by clinical documentation.

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