O71.4

O71.4: Obstetric high vaginal laceration alone

Billable / specific codeICD-10-CM

O71.4 is a billable, specific ICD-10-CM code for obstetric high vaginal laceration alone. It is valid for submission on a claim.

Check O71.4 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.

obstetric high vaginal laceration with perineal laceration (O70.-)

Inclusion terms

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

Laceration of vaginal wall without perineal laceration

Other codes that can never be billed with O71.4

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

N89.8Other specified noninflammatory disorders of vagina
O70Perineal laceration during delivery
S31.4Open wound of vagina and vulva
S37Injury of urinary and pelvic organs
S37.6Injury of uterus

Risk adjustment

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

Medicare coverage

O71.4 is named in 1 Medicare coverage policy: 1 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56421Billing and Coding: CT of the Abdomen and Pelvis

Alphabetic index entries that lead here

Laceration›vagina›during delivery
Perforation, perforated›vagina›obstetrical trauma
Injury›instrumental›obstetrical›high vaginal
Delivery›complicated›by›laceration›rectovaginal(septum) (without perineal laceration)
Delivery›complicated›by›laceration›vagina, vaginal(deep) (high) (without perineal laceration)

Code history

Unchanged in every release from FY2024 to FY2027.