ICD-10 Coding for History of Miscarriage(Z87.59, N96)
Complete ICD-10-CM coding and documentation guide for History of Miscarriage. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Miscarriage
Z87.5Primary Range
Personal history of other diseases and conditions
This range includes codes for personal history of conditions, including miscarriage.
Recurrent pregnancy loss
Used for patients with a history of three or more consecutive miscarriages.
Supervision of pregnancy with other poor reproductive or obstetric history
Used when a patient is currently pregnant and has a history of miscarriage.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z87.59 | Personal history of other complications of pregnancy, childbirth and the puerperium | Use when documenting a patient's history of miscarriage and they are not currently pregnant. |
|
| N96 | Recurrent pregnancy loss | Use when evaluating or treating a patient for recurrent pregnancy loss. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for history of miscarriage
Essential facts and insights about History of Miscarriage
Primary ICD-10-CM Codes for history of miscarriage
Decision Criteria
clinical Criteria
- Patient has a documented history of miscarriage and is not currently pregnant.
coding Criteria
- Do not use if the patient is currently pregnant and the history affects current care.
Applicable To
- History of miscarriage
Clinical Validation Requirements
- Documentation of one or more prior miscarriages
- Not currently pregnant
Code-Specific Risks
- Incorrectly using this code for current pregnancy complications.
Coding Notes
- Ensure the documentation clearly states 'history of miscarriage' to avoid confusion with current pregnancy complications.
N96 - Recurrent pregnancy loss
Use when evaluating or treating a patient for recurrent pregnancy loss.
Applicable To
- History of three or more consecutive miscarriages
Excludes
- Current miscarriage (O03.-)
Clinical Validation Requirements
- Documentation of three or more consecutive miscarriages
- Workup for recurrent pregnancy loss
Coding Notes
Recurrent pregnancy loss should be supported by clinical documentation of multiple miscarriages.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Family history of other specified conditions
Z84.89Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Miscarriage to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z87.59.
Impact
Clinical: May lead to inappropriate care planning., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials or audits.
Mitigation Strategy
Use specific language in documentation., Verify details with patient records.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate patient records and data reporting.
Mitigation Strategy
Use O09.89 if the patient is currently pregnant and the history affects current care.
Impact
Inaccurate documentation of miscarriage history can lead to coding errors.
Mitigation Strategy
Ensure detailed and specific documentation of miscarriage history.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for History of Miscarriage, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Miscarriage
Use these documentation templates to ensure complete and accurate documentation for History of Miscarriage. These templates include all required elements for proper coding and billing.
Preconception Counseling
Specialty: Obstetrics and GynecologyRequired Elements
- Number of prior miscarriages
- Gestational age at loss
- Confirmation method
- Current pregnancy status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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