O70.4

O70.4: Anal sphincter tear complicating delivery, not associated with third degree laceration

Billable / specific codeICD-10-CM

O70.4 is a billable, specific ICD-10-CM code for anal sphincter tear complicating delivery, not associated with third degree laceration. It is valid for submission on a claim.

Check O70.4 with the rest of the claim: free scrubber

Excludes1: never code together

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

anal sphincter tear with third degree perineal laceration (O70.2-)

Excludes1 inherited from the categories above O70.4

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 O70.4

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

Tear, torn›anus, anal›complicating delivery›without third degree perineal laceration
Delivery›complicated›by›laceration›anus(sphincter)
Delivery›complicated›by›laceration›anus›without third degree laceration

Code history

Unchanged in every release from FY2024 to FY2027.