ICD-10-CM Codes
O00-O9A Pregnancy, childbirth and the puerperium
O60-O77 Complications of labor and delivery
O70- Perineal laceration during delivery

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
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
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
Applicable To
- Leukorrhea NOS
- Old vaginal laceration
- Pessary ulcer of vagina
Type 1 Excludes
- current obstetric trauma (O70.-, O71.4, O71.7-O71.8)
- old laceration involving muscles of pelvic floor (N81.8)
ICD-10-CM Diagnosis Code N90
Other noninflammatory disorders of vulva and perineum
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
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.

2019 ICD-10-CM Diagnosis Code O70

Perineal laceration during delivery

Obstetric high vaginal laceration alone

Pregnancy, childbirth and the puerperium

Open wound of vagina and vulva

Other specified noninflammatory disorders of vagina

Other noninflammatory disorders of vulva and perineum

Obstetric high vaginal laceration alone