Recurrent pregnancy loss
Chapter 14:Diseases of the genitourinary system
ICD-10 N96 is a billable code used to indicate a diagnosis of recurrent pregnancy loss.
Recurrent pregnancy loss (RPL) is defined as the occurrence of two or more consecutive pregnancy losses before the 20th week of gestation. This condition can significantly impact a woman's emotional and psychological well-being, as well as her reproductive health. The etiology of RPL is multifactorial, including genetic, anatomical, hormonal, immunological, and environmental factors. Genetic abnormalities, such as chromosomal translocations, are common causes, while uterine anomalies like septate uterus or fibroids can also contribute. Hormonal imbalances, such as luteal phase defects, and autoimmune disorders, including antiphospholipid syndrome, may play a role. Diagnosis typically involves a thorough medical history, physical examination, and a series of tests to identify underlying causes. Management strategies may include lifestyle modifications, medical treatments, or surgical interventions, depending on the identified etiology. Emotional support and counseling are also crucial components of care for women experiencing RPL, as the psychological impact can be profound.
Detailed patient history, results of diagnostic tests, and treatment plans must be documented.
Patients presenting with multiple miscarriages, undergoing fertility treatments, or requiring surgical interventions.
Ensure all relevant tests and evaluations are documented to support the diagnosis of RPL.
Comprehensive hormonal assessments and genetic testing results should be included.
Patients with hormonal imbalances or genetic predispositions to RPL.
Document any interventions or treatments aimed at correcting hormonal or genetic issues.
Used to evaluate the uterine lining in cases of RPL.
Document indication for biopsy and results.
Obstetricians should ensure that the reason for the procedure is clearly linked to RPL.
Recurrent pregnancy loss refers to two or more consecutive pregnancy losses, while spontaneous abortion typically refers to a single loss. RPL requires a more extensive evaluation to identify underlying causes.
