2027 ICD-10-CM Diagnosis Code N96Recurrent pregnancy loss

ICD-10-CM Codes›N00–N99›N80-N98›N96

ICD-10-CM N96
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

N96 is a billable ICD-10-CM diagnosis code for recurrent pregnancy loss. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 742 through 743, 760 through 761. Coders also document this condition as history of recurrent miscarriage - not pregnant. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified female genital disorders.

Code Identity

ICD-10-CM Code
N96
Billable Status
Yes — Valid for Submission
Code Describes
Recurrent pregnancy loss
Short Description
Recurrent pregnancy loss
Same as the full description in the CMS dataset.
Chapter
N80-N98
Noninflammatory disorders of female genital tract

Code Classification

ChapterN00–N99Diseases of the genitourinary system
SectionN80-N98Noninflammatory disorders of female genital tract
CategoryN96Recurrent pregnancy loss
This CodeN96Recurrent pregnancy loss

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • History of recurrent miscarriage - not pregnant
  • Recurrent miscarriage

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to N96: its own notes plus those printed at Chapter 14. A note printed at a category, block or chapter applies to every code under it.

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Investigation or care in a nonpregnant woman with history of recurrent pregnancy loss

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

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

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From Chapter 14 (N00-N99) Diseases of the genitourinary system applies to 838 codes
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name N96, its category, or a range that includes it.

Excludes2 1

These codes carry an Excludes2 note naming N96: its condition is not part of those codes, and both may be reported when the patient has both.

  • Z87.5 Personal history of complications of pregnancy, childbirth and the puerperium
    recurrent pregnancy loss (N96)

Use Additional Code 1

These codes say to use an additional code from the note, and N96 is one of the codes named.

  • Z31.43 Encounter for genetic testing of female for procreative management
    code for recurrent pregnancy loss, if applicable (N96, O26.2-)

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR GEN025
Other specified female genital disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

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.

The full article covers:

  • What is a miscarriage?
  • What causes a miscarriage?
  • What are the signs of a miscarriage?
  • How is a miscarriage diagnosed?
  • What is the treatment for a miscarriage?
  • Can a miscarriage be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert N96 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
629.81 Rec preg loss wo cur prg
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About N96Overview

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

The ICD-10-CM code for recurrent pregnancy loss is N96. It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is N96 (Recurrent pregnancy loss) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report recurrent pregnancy loss on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does N96 group to?

When recurrent pregnancy loss is the principal diagnosis on an inpatient stay, it groups to MS-DRG 742, 743, 760, 761, with relative weights from 0.7039 to 1.8448 depending on complications. Higher weights mean higher Medicare reimbursement.

Can N96 be reported with a code from O26.2?

Not as a rule. The Excludes1 note on N96 lists "recurrent pregancy loss with current pregnancy (O26.2-)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

What is the ICD-9 equivalent of N96?

Under the General Equivalence Mappings, recurrent pregnancy loss converts to ICD-9-CM 629.81 (rec preg loss wo cur prg). The mapping is a direct match.