2019 ICD-10-CM Diagnosis Code O70

Perineal laceration during delivery

    2016 2017 2018 2019 Non-Billable/Non-Specific Code
  • O70 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2019 edition of ICD-10-CM O70 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of O70 - other international versions of ICD-10 O70 may differ.
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as O70. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • obstetric high vaginal laceration alone (
    ICD-10-CM Diagnosis Code O71.4

    Obstetric high vaginal laceration alone

      2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    Applicable To
    • Laceration of vaginal wall without perineal laceration
    Type 1 Excludes
    • obstetric high vaginal laceration with perineal laceration (O70.-)
    O71.4
    )
Includes
Includes Help
"Includes" further defines, or give examples of, the content of the code or category.
  • episiotomy extended by laceration
The following code(s) above O70 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to O70:
  • O00-O9A
    2019 ICD-10-CM Range O00-O9A

    Pregnancy, childbirth and the puerperium

    Note
    • CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS
    • Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes)
    • Trimesters are counted from the first day of the last menstrual period. They are defined as follows:
    • 1st trimester- less than 14 weeks 0 days
    • 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days
    • 3rd trimester- 28 weeks 0 days until delivery
    Type 1 Excludes
    • supervision of normal pregnancy (Z34.-)
    Type 2 Excludes
    • mental and behavioral disorders associated with the puerperium (F53.-)
    • obstetrical tetanus (A34)
    • postpartum necrosis of pituitary gland (E23.0)
    • puerperal osteomalacia (M83.0)
    Use Additional
    • code from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
    Pregnancy, childbirth and the puerperium
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
Code annotations containing back-references to O70:
  • Type 1 Excludes: S31.4
    , N89.8
    , N90
    , O71.4
    ICD-10-CM Diagnosis Code S31.4

    Open wound of vagina and vulva

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • injury to vagina and vulva during delivery (O70.-, O71.4)
    ICD-10-CM Diagnosis Code N89.8

    Other specified noninflammatory disorders of vagina

      2016 2017 2018 2019 Billable/Specific Code Female Dx
    Applicable To
    • Leukorrhea NOS
    • Old vaginal laceration
    • Pessary ulcer of vagina
    Type 1 Excludes
    ICD-10-CM Diagnosis Code N90

    Other noninflammatory disorders of vulva and perineum

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • anogenital (venereal) warts (A63.0)
    • carcinoma in situ of vulva (D07.1)
    • condyloma acuminatum (A63.0)
    • current obstetric trauma (O70.-, O71.7-O71.8)
    • inflammation of vulva (N76.-)
    • severe dysplasia of vulva (D07.1)
    • vulvar intraepithelial neoplasm III [VIN III] (D07.1)
    ICD-10-CM Diagnosis Code O71.4

    Obstetric high vaginal laceration alone

      2016 2017 2018 2019 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    Applicable To
    • Laceration of vaginal wall without perineal laceration
    Type 1 Excludes
    • obstetric high vaginal laceration with perineal laceration (O70.-)
ICD-10-CM Codes Adjacent To O70
O69.89X5 …… fetus 5
O69.89X9 …… other fetus
O69.9 Labor and delivery complicated by cord complication, unspecified
O69.9XX0 …… not applicable or unspecified
O69.9XX1 …… fetus 1
O69.9XX2 …… fetus 2
O69.9XX3 …… fetus 3
O69.9XX4 …… fetus 4
O69.9XX5 …… fetus 5
O69.9XX9 …… other fetus
O70 Perineal laceration during delivery
O70.0 First degree perineal laceration during delivery
O70.1 Second degree perineal laceration during delivery
O70.2 Third degree perineal laceration during delivery
O70.20 …… unspecified
O70.21 …… IIIa
O70.22 …… IIIb
O70.23 …… IIIc
O70.3 Fourth degree perineal laceration during delivery
O70.4 Anal sphincter tear complicating delivery, not associated with third degree laceration
O70.9 Perineal laceration during delivery, unspecified

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.