Is O70.1 a billable ICD-10-CM code?

Yes. O70.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does O70.1 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 O70.1?

O70.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

O70.1

O70.1 — Second degree perineal laceration during delivery

Billable / specific codeICD-10-CM

O70.1 is a billable, specific ICD-10-CM code for second degree perineal laceration during delivery. It is valid for submission on a claim.

Excludes1 — never code together

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

perineal laceration involving anal sphincter (O70.2-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

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

Risk adjustment

O70.1 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.

How O70.1 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to O70.1.

Injury›pelvis, pelvic›complicating delivery
Rupture, ruptured›pelvic›floor, complicating delivery
Tear, torn›pelvic›floor, complicating delivery
Laceration›pelvic›floor›complicating delivery
Perforation, perforated›pelvic›floor›obstetrical trauma
Laceration›perineum›female›during delivery›second degree
Delivery›complicated›by›laceration›pelvic›floor
Delivery›complicated›by›laceration›perineum, perineal›muscles
Delivery›complicated›by›laceration›perineum, perineal›second degree
Delivery›complicated›by›laceration›vagina, vaginal›muscles, with perineum

Related codes at this level

Codes that share O70. If O70.1 is not quite right, the correct code is usually one of these.

Questions about O70.1

Is O70.1 a billable ICD-10-CM code?: Yes. O70.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does O70.1 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 O70.1?: O70.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.