ICD-10-CM Codes
O00-O9A
O60-O77
O70-
2023 ICD-10-CM Diagnosis Code O70.0

2023 ICD-10-CM Diagnosis Code O70.0

First degree perineal laceration during delivery

2016

2017

2018

2019

2020

2021

2022

2023

Billable/Specific Code

Maternity Dx (12-55 years)

Female Dx

O70.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 2023 edition of ICD-10-CM O70.0 became effective on October 1, 2022.
This is the American ICD-10-CM version of O70.0 - other international versions of ICD-10 O70.0 may differ.

ICD-10-CM Coding Rules

O70.0 is applicable to maternity patients aged 12 - 55 years inclusive.
O70.0 is applicable to female patients.

Applicable To

Perineal laceration, rupture or tear involving fourchette during delivery
Perineal laceration, rupture or tear involving labia during delivery
Perineal laceration, rupture or tear involving skin during delivery
Perineal laceration, rupture or tear involving vagina during delivery
Perineal laceration, rupture or tear involving vulva during delivery
Slight perineal laceration, rupture or tear during delivery

The following code(s) above O70.0 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 O70.0:

O00-O9A
2023 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
O70
ICD-10-CM Diagnosis Code O70
Perineal laceration during delivery
Includes
- episiotomy extended by laceration
Type 1 Excludes
- obstetric high vaginal laceration alone (O71.4)
Perineal laceration during delivery

Approximate Synonyms

First degree perineal laceration
Labial tear in childbirth
Perineal laceration involving labia

ICD-10-CM O70.0 is grouped within Diagnostic Related Group(s) (MS-DRG v40.0):

769 Postpartum and post abortion diagnoses with o.r. Procedures
776 Postpartum and post abortion diagnoses without o.r. Procedures

Convert O70.0 to ICD-9-CM

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
2020 (effective 10/1/2019): No change
2021 (effective 10/1/2020): No change
2022 (effective 10/1/2021): No change
2023 (effective 10/1/2022): No change

Code annotations containing back-references to O70.0:

Applicable To: O70.1
, O70.1
, O70.1

ICD-10-CM Diagnosis Code O70.1
Second degree perineal laceration during delivery
Applicable To
- Perineal laceration, rupture or tear during delivery as in O70.0, also involving pelvic floor
- Perineal laceration, rupture or tear during delivery as in O70.0, also involving perineal muscles
- Perineal laceration, rupture or tear during delivery as in O70.0, also involving vaginal muscles
Type 1 Excludes
- perineal laceration involving anal sphincter (O70.2)
ICD-10-CM Diagnosis Code O70.1
Second degree perineal laceration during delivery
Applicable To
- Perineal laceration, rupture or tear during delivery as in O70.0, also involving pelvic floor
- Perineal laceration, rupture or tear during delivery as in O70.0, also involving perineal muscles
- Perineal laceration, rupture or tear during delivery as in O70.0, also involving vaginal muscles
Type 1 Excludes
- perineal laceration involving anal sphincter (O70.2)
ICD-10-CM Diagnosis Code O70.1
Second degree perineal laceration during delivery
Applicable To
- Perineal laceration, rupture or tear during delivery as in O70.0, also involving pelvic floor
- Perineal laceration, rupture or tear during delivery as in O70.0, also involving perineal muscles
- Perineal laceration, rupture or tear during delivery as in O70.0, also involving vaginal muscles
Type 1 Excludes
- perineal laceration involving anal sphincter (O70.2)

Diagnosis Index entries containing back-references to O70.0:

Delivery (childbirth) (labor)
- complicated O75.9
  ICD-10-CM Diagnosis Code O75.9
  Complication of labor and delivery, unspecified
  2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
  - by
    - laceration (perineal) O70.9
      ICD-10-CM Diagnosis Code O70.9
      Perineal laceration during delivery, unspecified
      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
      - perineum, perineal O70.9
        ICD-10-CM Diagnosis Code O70.9
        Perineal laceration during delivery, unspecified
        2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
        first degree O70.0
        skin O70.0
        slight O70.0
      - vagina, vaginal (deep) (high) (without perineal laceration) O71.4
        ICD-10-CM Diagnosis Code O71.4
        Obstetric high vaginal laceration alone
        2016 2017 2018 2019 2020 2021 2022 2023 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.-)
        with perineum O70.0
      - fourchette O70.0
      - hymen O70.0
      - labia O70.0
      - vulva O70.0
Laceration
- fourchette O70.0
  - complicating delivery O70.0
- perineum
  - female S31.41
    ICD-10-CM Diagnosis Code S31.41
    Laceration without foreign body of vagina and vulva
    2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    - during delivery O70.9
      ICD-10-CM Diagnosis Code O70.9
      Perineal laceration during delivery, unspecified
      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
      - first degree O70.0
- vulva S31.41
  ICD-10-CM Diagnosis Code S31.41
  Laceration without foreign body of vagina and vulva
  2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
  - complicating delivery O70.0
Rupture, ruptured
- vulva complicating delivery O70.0
Tear, torn (traumatic) - see also Laceration
- vulva, complicating delivery O70.0

ICD-10-CM Codes Adjacent To O70.0

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

O71 Other obstetric trauma

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

2023 ICD-10-CM Diagnosis Code O70.0

First degree perineal laceration during delivery

Pregnancy, childbirth and the puerperium

Perineal laceration during delivery

Second degree perineal laceration during delivery

Second degree perineal laceration during delivery

Second degree perineal laceration during delivery

Complication of labor and delivery, unspecified

Perineal laceration during delivery, unspecified

Perineal laceration during delivery, unspecified

Obstetric high vaginal laceration alone

Laceration without foreign body of vagina and vulva

Perineal laceration during delivery, unspecified

Laceration without foreign body of vagina and vulva