Is O70.2 a billable ICD-10-CM code?

No. O70.2 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does O70.2 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 O70.2?

O70.2 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

O70.2

O70.2 — Third degree perineal laceration during delivery

Non-billable headerICD-10-CM

O70.2 is a non-billable header ICD-10-CM code for third degree 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.

anal sphincter tear during delivery without third degree perineal laceration (O70.4)
perineal laceration involving anal or rectal mucosa (O70.3)

Inclusion terms

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

Perineal laceration, rupture or tear during delivery as in O70.1, 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

Other codes that can never be billed with O70.2

These codes carry an Excludes1 note pointing at O70.2. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O70.2 alone.

O70.1Second degree perineal laceration during delivery
O70.4Anal sphincter tear complicating delivery, not associated with third degree laceration

Risk adjustment

O70.2 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 O70.2

4 child codes. Green means billable.

Related codes at this level

Codes that share O70. If O70.2 is not quite right, the correct code is usually one of these.

Questions about O70.2

Is O70.2 a billable ICD-10-CM code?: No. O70.2 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does O70.2 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 O70.2?: O70.2 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.