N96 — Recurrent pregnancy loss
Is N96 billable?
Yes — N96 is billable for FY2027. N96 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. N96 may be submitted for encounters from October 1, 2026 through September 30, 2027.
N96 at a glance
| Code | N96 |
|---|---|
| Description | Recurrent pregnancy loss |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does N96 group to?
N96 sits in MDC 13 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 742Uterine and Adnexa Procedures for Non-Malignancy with CC/MCCsurgical
- 743Uterine and Adnexa Procedures for Non-Malignancy without CC/MCCsurgical
How is N96 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to N96. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Abortion › habitual or recurrent (complete) (spontaneous)
- Loss › pregnancy, recurrent (of)
- Abortion › habitual or recurrent › without current pregnancy (complete) (spontaneous)
- Loss › pregnancy, recurrent › without current pregnancy (of)
Excludes1 — never code together
The conditions below can never be reported together with N96 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- recurrent pregancy loss with current pregnancy (O26.2-)
Inclusion terms
Alternative wording in documentation that is classified to N96.
- Investigation or care in a nonpregnant woman with history of recurrent pregnancy loss
Excludes2 — not included here — inherited from Chapter 14
The conditions below are not part of N96, but a patient may have both at the same time. When documentation supports it, N96 and the excluded code may both be reported.
- 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)
How long has N96 existed?
N96 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which codes are confused with N96?
ICD-10-CM declares these codes mutually exclusive with N96 — exactly one of each pair can be correct for a given encounter.