ICD-10 N96
Billable / SpecificRecurrent pregnancy loss
About ICD-10-CM N96
ICD-10-CM code N96 represents Recurrent pregnancy loss. This is a billable/specific code in the Genitourinary System chapter (block N96). The 2026 edition of ICD-10-CM N96 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under N96. Per CMS ICD-10-CM Tabular 2026.
- Investigation or care in a nonpregnant woman with history of recurrent pregnancy loss
Type 1 Excludes
Pure excludes, these codes can never be coded together with N96. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- recurrent pregancy loss with current pregnancy (O26.2-)
Medicare LCD Coverage for N96
Local Coverage Determinations (LCDs) from CMS MACs that list N96 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing N96.
1 Cigna
CPT Codes Commonly Billed with N96
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert N96 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| N96 | 62981 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To N96
Other codes in section N80-N98 (Noninflammatory disorders of female genital tract).
ICD-10 N96, Billing FAQ
Is ICD-10 code N96 billable? +
Yes, N96 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to N96? +
ICD-10 N96 includes: Investigation or care in a nonpregnant woman with history of recurrent pregnancy loss.
What codes are Type 1 Excludes for N96? +
Type 1 Excludes (never code together with N96): recurrent pregancy loss with current pregnancy (O26.2-)
What ICD-9 codes does N96 map to? +
Per CMS GEMs, N96 maps to ICD-9 codes: 62981. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 2, 2026.
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