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.

ICD-10 Coding for Recurrent Pregnancy Loss(O26.21, D68.69, O03.9)

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Explore comprehensive ICD-10 coding guidelines for recurrent pregnancy loss, including code relationships, documentation requirements, and clinical validation.

Also known as:

Habitual AbortionRecurrent Miscarriage

Related ICD-10 Code Ranges

Complete code families applicable to Recurrent Pregnancy Loss

O00-O9APrimary Range

Pregnancy, childbirth and the puerperium

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
O26.21	Pregnancy care for recurrent pregnancy loss, first trimester	Use for patients with recurrent pregnancy loss in the first trimester.	Documented history of two or more consecutive first-trimester losses Gestational age of each loss
O26.22	Pregnancy care for recurrent pregnancy loss, second trimester	Use for patients with recurrent pregnancy loss in the second trimester.	Documented history of two or more consecutive second-trimester losses Gestational age of each loss
D68.69	Other thrombophilia	Use when thrombophilia is identified as a contributing factor to RPL.	Laboratory confirmation of thrombophilia (e.g. positive lupus anticoagulant)

Primary ICD-10-CM Codes

Pregnancy care for patient with recurrent pregnancy loss, first trimester

O26.21Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Spontaneous abortion, unspecifiedO03.9

Documentation & Coding Risks

Avoid these common issues when documenting Recurrent Pregnancy Loss.

Failing to specify the trimester in the code

Impact

Clinical: Inaccurate clinical records., Regulatory: Potential for audit issues., Financial: Claims may be denied or delayed.

Mitigation

Always verify the trimester before coding., Use specific trimester codes (O26.21, O26.22).

Using Z31.83 instead of O26.2 for active pregnancy care

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation

Use O26.2 for prenatal visits focused on RPL management.

Incorrect trimester coding

Impact

Using a general code without specifying the trimester.

Mitigation

Ensure documentation includes trimester-specific details.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with O26.21.

Primary Code

O26.21

Pregnancy care for patient with recurrent pregnancy loss, first trimester

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ICD-10 codes6

Coding risks3

FAQs2

ICD-10 Coding for Recurrent Pregnancy Loss(O26.21, D68.69, O03.9)

Documentation & Coding Risks

Frequently Asked Questions

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

When should O26.21 be used?

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