O70.3

O70.3: Fourth degree perineal laceration during delivery

Billable / specific codeICD-10-CM

O70.3 is a billable, specific ICD-10-CM code for fourth degree perineal laceration during delivery. It is valid for submission on a claim.

Check O70.3 with the rest of the claim: free scrubber

Inclusion terms

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

Perineal laceration, rupture or tear during delivery as in O70.2, also involving anal mucosa
Perineal laceration, rupture or tear during delivery as in O70.2, also involving rectal mucosa

Excludes1 inherited from the categories above O70.3

A category’s note binds every code beneath it.

Written on O70: Perineal laceration during delivery

obstetric high vaginal laceration alone (O71.4)

Other codes that can never be billed with O70.3

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
O70.2Third degree perineal laceration during delivery
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

Laceration›perineum›female›during delivery›fourth degree
Tear, torn›anus, anal›complicating delivery›with third degree perineal laceration›with mucosa
Delivery›complicated›by›laceration›perineum, perineal›fourth degree
Delivery›complicated›by›laceration›anus›with third degree laceration›with mucosa
Delivery›complicated›by›laceration›rectovaginal›with perineum›with anal or rectal mucosa

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under O70