2020 ICD-10-CM Diagnosis Code O70.1

Second degree perineal laceration during delivery

    2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
  • O70.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM O70.1 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of O70.1 - other international versions of ICD-10 O70.1 may differ.
ICD-10-CM Coding Rules
  • O70.1 is applicable to maternity patients aged 12 - 55 years inclusive.
Applicable To
  • Perineal laceration, rupture or tear during delivery as in
    ICD-10-CM Diagnosis Code O70.0

    First degree perineal laceration during delivery

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
    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
    O70.0
    , also involving pelvic floor
  • Perineal laceration, rupture or tear during delivery as in
    ICD-10-CM Diagnosis Code O70.0

    First degree perineal laceration during delivery

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
    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
    O70.0
    , also involving perineal muscles
  • Perineal laceration, rupture or tear during delivery as in
    ICD-10-CM Diagnosis Code O70.0

    First degree perineal laceration during delivery

      2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
    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
    O70.0
    , also involving vaginal muscles
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 O70.1. 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.
  • perineal laceration involving anal sphincter (
    ICD-10-CM Diagnosis Code O70.2

    Third degree perineal laceration during delivery

      2016 2017 - Converted to Parent Code 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Perineal laceration, rupture or tear during delivery as in O70.1, also involving anal sphincter
    • Perineal laceration, rupture or tear during delivery as in O70.1, also involving rectovaginal septum
    • Perineal laceration, rupture or tear during delivery as in O70.1, also involving sphincter NOS
    Type 1 Excludes
    • anal sphincter tear during delivery without third degree perineal laceration (O70.4)
    • perineal laceration involving anal or rectal mucosa (O70.3)
    O70.2
    )
The following code(s) above O70.1 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 O70.1:
  • O00-O9A
    2020 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

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Includes
    • episiotomy extended by laceration
    Type 1 Excludes
    • obstetric high vaginal laceration alone (O71.4)
    Perineal laceration during delivery
Approximate Synonyms
  • Second degree perineal laceration
ICD-10-CM O70.1 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 769 Postpartum and post abortion diagnoses with o.r. Procedure
  • 776 Postpartum and post abortion diagnoses without o.r. Procedure

Convert O70.1 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
Code annotations containing back-references to O70.1:
  • Applicable To: O70.2
    , O70.2
    , O70.2
    ICD-10-CM Diagnosis Code O70.2

    Third degree perineal laceration during delivery

      2016 2017 - Converted to Parent Code 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Perineal laceration, rupture or tear during delivery as in O70.1, also involving anal sphincter
    • Perineal laceration, rupture or tear during delivery as in O70.1, also involving rectovaginal septum
    • Perineal laceration, rupture or tear during delivery as in O70.1, also involving sphincter NOS
    Type 1 Excludes
    • anal sphincter tear during delivery without third degree perineal laceration (O70.4)
    • perineal laceration involving anal or rectal mucosa (O70.3)
    ICD-10-CM Diagnosis Code O70.2

    Third degree perineal laceration during delivery

      2016 2017 - Converted to Parent Code 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Perineal laceration, rupture or tear during delivery as in O70.1, also involving anal sphincter
    • Perineal laceration, rupture or tear during delivery as in O70.1, also involving rectovaginal septum
    • Perineal laceration, rupture or tear during delivery as in O70.1, also involving sphincter NOS
    Type 1 Excludes
    • anal sphincter tear during delivery without third degree perineal laceration (O70.4)
    • perineal laceration involving anal or rectal mucosa (O70.3)
    ICD-10-CM Diagnosis Code O70.2

    Third degree perineal laceration during delivery

      2016 2017 - Converted to Parent Code 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Perineal laceration, rupture or tear during delivery as in O70.1, also involving anal sphincter
    • Perineal laceration, rupture or tear during delivery as in O70.1, also involving rectovaginal septum
    • Perineal laceration, rupture or tear during delivery as in O70.1, also involving sphincter NOS
    Type 1 Excludes
    • anal sphincter tear during delivery without third degree perineal laceration (O70.4)
    • perineal laceration involving anal or rectal mucosa (O70.3)

Diagnosis Index entries containing back-references to O70.1:
  • Delivery (childbirth) (labor)
    • complicated O75.9
      ICD-10-CM Diagnosis Code O75.9

      Complication of labor and delivery, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
      • by
        • laceration (perineal) O70.9
          ICD-10-CM Diagnosis Code O70.9

          Perineal laceration during delivery, unspecified

            2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
          • pelvic
            • floor O70.1
          • perineum, perineal O70.9
            ICD-10-CM Diagnosis Code O70.9

            Perineal laceration during delivery, unspecified

              2016 2017 2018 2019 2020 Billable/Specific Code Maternity Dx (12-55 years)
            • muscles O70.1
            • second degree O70.1
          • 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 Billable/Specific Code Maternity Dx (12-55 years)
            Applicable To
            • Laceration of vaginal wall without perineal laceration
            Type 1 Excludes
            • obstetric high vaginal laceration with perineal laceration (O70.-)
            • muscles, with perineum O70.1
  • Injury T14.90
    - see also specified injury type
    ICD-10-CM Diagnosis Code T14.90

    Injury, unspecified

      2016 2017 2018 - Converted to Parent Code 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Injury NOS
    • pelvis, pelvic (floor) S39.93
      ICD-10-CM Diagnosis Code S39.93

      Unspecified injury of pelvis

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      • complicating delivery O70.1
  • Laceration
    • pelvic S31.010
      ICD-10-CM Diagnosis Code S31.010

      Laceration without foreign body of lower back and pelvis without penetration into retroperitoneum

        2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
      Applicable To
      • Laceration without foreign body of lower back and pelvis NOS
    • perineum
      • female S31.41
        ICD-10-CM Diagnosis Code S31.41

        Laceration without foreign body of vagina and vulva

          2016 2017 2018 2019 2020 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 Billable/Specific Code Maternity Dx (12-55 years)
          • second degree O70.1
  • Perforation, perforated (nontraumatic) (of)
    • pelvic
      • floor S31.030
        ICD-10-CM Diagnosis Code S31.030

        Puncture wound without foreign body of lower back and pelvis without penetration into retroperitoneum

          2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
        Applicable To
        • Puncture wound without foreign body of lower back and pelvis NOS
        • obstetrical trauma O70.1
  • Rupture, ruptured
    • pelvic
      • floor, complicating delivery O70.1
  • Tear, torn (traumatic) - see also Laceration
    • pelvic
      • floor, complicating delivery O70.1

ICD-10-CM Codes Adjacent To O70.1
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
O71.0 Rupture of uterus (spontaneous) before onset of labor

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