With the expanded legal risks for clinicians and patients seeking abortion care after Dobbs v Jackson Women鈥檚 Health Organization,1 the prevalence of abortion miscoding鈥攃oding a surgical or chemical abortion as a miscarriage鈥攊s likely to increase. While some physicians may intentionally miscode to provide abortion services while avoiding criminal liability, unintentional miscoding may occur when patients conceal self-managed abortions but require follow-up care. Both well-intentioned and unintentional miscoding carry legal risks that clinicians should consider when engaging in this practice.