What is the ICD-10 code for third-degree perineal laceration repair?

The ICD-10 code for third-degree perineal laceration repair is O70.2, which involves the anal sphincter.

How do you code a fourth-degree perineal tear?

For a fourth-degree perineal tear, use ICD-10 code O70.3, indicating involvement of both anal sphincter and rectal mucosa.

ICD-10 Coding for Repair of Obstetric Vaginal Laceration(O70.2, O70.0, O70.3)

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Learn about the ICD-10 coding and documentation requirements for the repair of obstetric vaginal lacerations, including third and fourth-degree tears.

Also known as:

Perineal Tear RepairEpisiotomy Repair

Related ICD-10 Code Ranges

Complete code families applicable to Repair of Obstetric Vaginal Laceration

O00-O9APrimary Range

Pregnancy, childbirth and the puerperium

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
O70.2	Third-degree perineal laceration during delivery	Use when the laceration involves the anal sphincter but not the rectal mucosa.	Operative note specifying involvement of anal sphincter Physical exam findings
O70.3	Fourth-degree perineal laceration during delivery	Use when both the anal sphincter and rectal mucosa are involved.	Operative note detailing involvement of rectal mucosa Physical exam findings

Primary ICD-10-CM Codes

Third degree perineal laceration during delivery

O70.2

Differential Codes

Alternative codes to consider when ruling out similar conditions

Fourth-degree perineal laceration during deliveryO70.3

Third-degree perineal laceration during deliveryO70.2

Documentation & Coding Risks

Avoid these common issues when documenting Repair of Obstetric Vaginal Laceration.

Omitting degree of tear in documentation

Impact

Clinical: Inaccurate clinical records, Regulatory: Potential audit issues, Financial: Denied claims or incorrect reimbursement

Mitigation

Use templates, Educate staff on documentation standards

Using integumentary codes for vaginal tears

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation

Use appropriate obstetric codes and unlisted codes if necessary.

Incorrect coding of tear degree

Impact

Misclassification of tear degree can lead to audits.

Mitigation

Ensure detailed documentation and use of correct codes.

Frequently Asked Questions

Primary Code

O70.2

Third degree perineal laceration during delivery

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