2026 ICD-10-CM Diagnosis Code N96Recurrent pregnancy loss

ICD-10-CM Codes›N00–N99›N80-N98›N96

ICD-10-CM N96
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

N96 is a billable ICD-10-CM diagnosis code for recurrent pregnancy loss. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) 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
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

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

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

Type 1 Excludes

  • recurrent pregancy loss with current pregnancy O26.2

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Abortion(complete) (spontaneous)
      • habitual or recurrent
    • Abortion(complete) (spontaneous)
      • habitual or recurrent
        • without current pregnancy
    • Loss(of)
      • pregnancy, recurrent
    • Loss(of)
      • pregnancy, recurrent
        • without current pregnancy

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 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About N96Overview

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, 2025 through September 30, 2026.

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 0.5696 to 1.8348 depending on complications. Higher weights mean higher Medicare reimbursement.

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.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.