ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesO26.20

O26.20

Billable

Pregnancy care for patient with recurrent pregnancy loss, unspecified trimester

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/08/2025

Code Description

ICD-10 O26.20 is a billable code used to indicate a diagnosis of pregnancy care for patient with recurrent pregnancy loss, unspecified trimester.

Key Diagnostic Point:

O26.20 is used to document care for pregnant patients who have experienced recurrent pregnancy loss, which is defined as two or more consecutive pregnancy losses. This condition can complicate pregnancy management and requires careful monitoring and intervention. Patients may present with various underlying conditions that contribute to recurrent losses, including anatomical abnormalities, hormonal imbalances, autoimmune disorders, and genetic factors. Maternal care for these patients often involves a multidisciplinary approach, especially when complications arise from pre-existing conditions such as renal, cardiac, or respiratory issues. For instance, women with chronic kidney disease may face increased risks during pregnancy, necessitating close collaboration between obstetricians and nephrologists. Similarly, those with cardiac conditions may require specialized care to manage hemodynamic changes during pregnancy. Respiratory conditions, such as asthma, also need careful management to ensure both maternal and fetal health. Overall, the management of recurrent pregnancy loss in the context of these complicating factors requires thorough documentation and a tailored care plan to optimize outcomes.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variety of underlying causes for recurrent pregnancy loss
  • Need for interdisciplinary collaboration in care
  • Potential for multiple comorbid conditions affecting pregnancy
  • Variability in treatment protocols based on individual patient history

Audit Risk Factors

  • Inadequate documentation of previous pregnancy losses
  • Failure to document comorbid conditions affecting pregnancy
  • Lack of clear treatment plans for recurrent pregnancy loss
  • Insufficient follow-up care documentation

Specialty Focus

Medical Specialties

Obstetrics and Gynecology

Documentation Requirements

Detailed documentation of pregnancy history, including previous losses, current pregnancy status, and any interventions taken.

Common Clinical Scenarios

Patients with a history of recurrent pregnancy loss presenting for prenatal care, requiring monitoring and potential interventions.

Billing Considerations

Consideration of psychological support for patients experiencing recurrent losses, as mental health can impact pregnancy outcomes.

Maternal-Fetal Medicine

Documentation Requirements

Comprehensive documentation of high-risk factors, including maternal health conditions and their management during pregnancy.

Common Clinical Scenarios

Management of pregnancies complicated by renal, cardiac, or respiratory conditions in patients with a history of recurrent pregnancy loss.

Billing Considerations

Coordination of care with specialists in nephrology, cardiology, or pulmonology as needed.

Coding Guidelines

Inclusion Criteria

Use O26.20 When
  • According to official coding guidelines, O26
  • 20 should be used when documenting care for patients with recurrent pregnancy loss without specifying the trimester
  • Coders must ensure that all relevant clinical information is captured to support the diagnosis and any associated complications

Exclusion Criteria

Do NOT use O26.20 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

59400CPT Code

Obstetrical care, including antepartum care, delivery, and postpartum care

Clinical Scenario

Used for comprehensive obstetric care in patients with recurrent pregnancy loss.

Documentation Requirements

Complete documentation of all prenatal visits, delivery, and postpartum follow-up.

Specialty Considerations

Obstetricians should document any special interventions or monitoring related to recurrent pregnancy loss.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of recurrent pregnancy loss, enabling better tracking of patient outcomes and more tailored care plans. This specificity helps in understanding the complexities of recurrent pregnancy loss and its management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of recurrent pregnancy loss, enabling better tracking of patient outcomes and more tailored care plans. This specificity helps in understanding the complexities of recurrent pregnancy loss and its management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of recurrent pregnancy loss, enabling better tracking of patient outcomes and more tailored care plans. This specificity helps in understanding the complexities of recurrent pregnancy loss and its management.

Resources

Clinical References

  • •
    ACOG Practice Bulletin on Recurrent Pregnancy Loss

Coding & Billing References

  • •
    ACOG Practice Bulletin on Recurrent Pregnancy Loss

Frequently Asked Questions

What should be documented for recurrent pregnancy loss?

Documentation should include the number of previous losses, gestational age at loss, any investigations performed, and the management plan for the current pregnancy. It is also important to document any comorbid conditions that may complicate the pregnancy.