N96 vs Z87.5
N96 (Recurrent pregnancy loss) compared with Z87.5 (Personal history of complications of pregnancy, childbirth and the puerperium), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. Z87.5 carries an Excludes2 note covering N96: “recurrent pregnancy loss (N96)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| N96Recurrent pregnancy loss | Z87.5Personal history of complications of pregnancy, childbirth and the puerperium | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | N00-N99 — Diseases of the Genitourinary System (N00-N99) | Z00-Z99 — Factors Influencing Health Status and Contact with Health Services (Z00-Z99) |
| Definition | Recurrent pregnancy loss is a billable ICD-10-CM diagnosis code (N96). | Personal history of complications of pregnancy, childbirth and the puerperium is a non-billable ICD-10-CM category code (Z87.5). |
| Includes | Investigation or care in a nonpregnant woman with history of recurrent pregnancy loss | Conditions classifiable to O00-O9A |
| Code first | — | any follow-up examination after treatment (Z09) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources