2019 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
  • O71.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2019 edition of ICD-10-CM O71.4 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of O71.4 - other international versions of ICD-10 O71.4 may differ.
ICD-10-CM Coding Rules
  • O71.4 is applicable to maternity patients aged 12 - 55 years inclusive.
  • O71.4 is applicable to female patients.
Applicable To
  • Laceration of vaginal wall without perineal laceration
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 O71.4. 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 with perineal laceration (
    ICD-10-CM Diagnosis Code O70
    • O70 Perineal laceration during delivery
      • O70.0 First degree perineal laceration during deliv...
      • O70.1 Second degree perineal laceration during deli...
      • O70.2 Third degree perineal laceration during deliv...
        • O70.20 Third degree perineal laceration during deliv...
        • O70.21 Third degree perineal laceration during deliv...
        • O70.22 Third degree perineal laceration during deliv...
        • O70.23 Third degree perineal laceration during deliv...
      • O70.3 Fourth degree perineal laceration during deli...
      • O70.4 Anal sphincter tear complicating delivery, no...
      • O70.9 Perineal laceration during delivery, unspecif...
    O70.-
    )
The following code(s) above O71.4 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 O71.4:
  • 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
  • O71
    ICD-10-CM Diagnosis Code O71

    Other obstetric trauma

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Includes
    • obstetric damage from instruments
    Other obstetric trauma
Approximate Synonyms
  • Obstetric high vaginal laceration
  • Obstetric laceration, high vaginal
ICD-10-CM O71.4 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 769 Postpartum and post abortion diagnoses with o.r. Procedure
  • 776 Postpartum and post abortion diagnoses without o.r. Procedure

Convert O71.4 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
Code annotations containing back-references to O71.4:
  • Type 1 Excludes: S31.4
    , N89.8
    , O70
    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 O70

    Perineal laceration during delivery

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Includes
    • episiotomy extended by laceration
    Type 1 Excludes
    • obstetric high vaginal laceration alone (O71.4)

Diagnosis Index entries containing back-references to O71.4:
  • Delivery (childbirth) (labor)
    • complicated O75.9
      ICD-10-CM Diagnosis Code O75.9

      Complication of labor and delivery, unspecified

        2016 2017 2018 2019 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 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
  • Injury T14.90
    - see also specified injury type
    ICD-10-CM Diagnosis Code T14.90

    Injury, unspecified

      2016 2017 2018 - Deleted Code 2018 - New Code 2019 Non-Billable/Non-Specific Code
    Applicable To
    • Injury NOS
  • Laceration
    • vagina S31.41
      ICD-10-CM Diagnosis Code S31.41

      Laceration without foreign body of vagina and vulva

        2016 2017 2018 2019 Non-Billable/Non-Specific Code
  • Perforation, perforated (nontraumatic) (of)
    • vagina
      • obstetrical trauma O71.4

ICD-10-CM Codes Adjacent To O71.4
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
O71.00 Rupture of uterus before onset of labor, unspecified trimester
O71.02 Rupture of uterus before onset of labor, second trimester
O71.03 Rupture of uterus before onset of labor, third trimester
O71.1 Rupture of uterus during labor
O71.2 Postpartum inversion of uterus
O71.3 Obstetric laceration of cervix
O71.4 Obstetric high vaginal laceration alone
O71.5 Other obstetric injury to pelvic organs
O71.6 Obstetric damage to pelvic joints and ligaments
O71.7 Obstetric hematoma of pelvis
O71.8 Other specified obstetric trauma
O71.81 Laceration of uterus, not elsewhere classified
O71.82 Other specified trauma to perineum and vulva
O71.89 Other specified obstetric trauma
O71.9 Obstetric trauma, unspecified
O72 Postpartum hemorrhage
O72.0 Third-stage hemorrhage

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