Is O70 a billable ICD-10-CM code?

No. O70 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does O70 sit in the tabular list?

Pregnancy, childbirth and the puerperium (O00-O9A), in the block Complications of labor and delivery (O60-O77).

What cannot be coded together with O70?

O70 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

O70

O70 — Perineal laceration during delivery

Non-billable headerICD-10-CM

O70 is a non-billable header ICD-10-CM code for perineal laceration during delivery. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

obstetric high vaginal laceration alone (O71.4)

Includes

Conditions this code covers.

episiotomy extended by laceration

Other codes that can never be billed with O70

These codes carry an Excludes1 note pointing at O70. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O70 alone.

N89.8Other specified noninflammatory disorders of vagina
N90Other noninflammatory disorders of vulva and perineum
O71.4Obstetric high vaginal laceration alone
O70.1Second degree perineal laceration during delivery
O70.2Third degree perineal laceration during delivery
O70.4Anal sphincter tear complicating delivery, not associated with third degree laceration
S31.4Open wound of vagina and vulva

Risk adjustment

O70 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead O70

6 child codes. Green means billable.

Questions about O70

Is O70 a billable ICD-10-CM code?: No. O70 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does O70 sit in the tabular list?: Pregnancy, childbirth and the puerperium (O00-O9A), in the block Complications of labor and delivery (O60-O77).
What cannot be coded together with O70?: O70 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.