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O70.22

O70.22: Third degree perineal laceration during delivery, IIIb

Billable / specific codeICD-10-CM

O70.22 is a billable, specific ICD-10-CM code for third degree perineal laceration during delivery, iiib. It is valid for submission on a claim.

Check O70.22 with the rest of the claim: free scrubber

Inclusion terms

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

  • Third degree perineal laceration during delivery with more than 50% external anal sphincter (EAS) thickness torn

Excludes1 inherited from the categories above O70.22

A category’s note binds every code beneath it.

Written on O70.2: Third degree perineal laceration during delivery

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

Written on O70: Perineal laceration during delivery

  • obstetric high vaginal laceration alone (O71.4)

Other codes that can never be billed with O70.22

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • N89.8Other specified noninflammatory disorders of vagina
  • N90Other noninflammatory disorders of vulva and perineum
  • O71.4Obstetric high vaginal laceration alone
  • S31.4Open wound of vagina and vulva

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Alphabetic index entries that lead here

  • Delivery›complicated›by›laceration›perineum, perineal›third degree›IIIb
  • Delivery›complicated›by›laceration›perineum, perineal›third degree›with›more than 50% external anal sphincter(EAS) thickness torn (IIIb)

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under O70.2

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.