O70.3
BillableFourth degree perineal laceration during delivery
Fourth degree perineal laceration during delivery
Coding Notes
Inclusion Terms
Alternative clinical terms for this condition
Includes
Conditions included under this code
- episiotomy extended by laceration
Excludes 1
Codes that cannot be used together with this code (mutual exclusion)
Excludes 2
Conditions not included here, but the patient may have both
Use Additional Code
Additional codes that should follow this code
- code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
Related Codes(5)
O70.0First degree perineal laceration during delivery
O70.1Second degree perineal laceration during delivery
O70.2Third degree perineal laceration during delivery
O70.4Anal sphincter tear comp del, not assoc w third degree lac
O70.9Perineal laceration during delivery, unspecified
ICD-11 Equivalents(1)
ICD-11 Equivalents
View full mappingCorresponding ICD-11 codes from the WHO crosswalk mapping
Also Known As / Clinical Terms(39)
SNOMED CT
- Fourth degree perineal laceration involving anal mucosa16950007
- Fourth degree perineal laceration involving rectal mucosa34262005
- Fourth degree perineal tear during delivery with postnatal problem199935005
- Anal mucosa finding249632006
- Anal mucosa observation249632006
- Injury of anal canal285807003
- CPT - Complete perineal tear399031001
- Fourth degree perineal laceration399031001
- Fourth degree perineal tear399031001
- Fourth degree perineal tear during delivery399031001
- Obstetric laceration, fourth degree399031001
- Open wound of anus10898171000119108
UMLS
- CPT - Complete perineal tearC1275806
- Fourth Degree Perineal LacerationC1275806
- Fourth degree perineal lacerationC1275806
- Fourth degree perineal laceration (disorder)C1275806
- Fourth degree perineal laceration during deliveryC1275806
- Fourth degree perineal tearC1275806
- Fourth degree perineal tear during deliveryC1275806
- Fourth-degree perineal laceration during deliveryC1275806
- Obstetric laceration, fourth degreeC1275806
- Perineal laceration, rupture or tear during delivery as in O70.2, also involving anal mucosaC2909383
- Perineal laceration, rupture or tear during delivery as in O70.2, also involving rectal mucosaC2909384
Clinical Terms
- Fourth Degree Perineal Laceration
- CPT - Complete perineal tear
- Fourth degree perineal tear during delivery with postnatal problem
- Perineal laceration, rupture or tear during delivery as in O70.2, also involving anal mucosa
- Fourth-degree perineal laceration during delivery
- Injury of anal canal
- Fourth degree perineal tear
- Perineal laceration, rupture or tear during delivery as in O70.2, also involving rectal mucosa
- Anal mucosa observation
- Open wound of anus
- Fourth degree perineal laceration (disorder)
- Fourth degree perineal laceration involving anal mucosa
- Obstetric laceration, fourth degree
- Anal mucosa finding
- Fourth degree perineal tear during delivery
- Fourth degree perineal laceration involving rectal mucosa
Frequently Asked Questions
What is the ICD-10 code for fourth degree perineal laceration during delivery?
The ICD-10-CM code for fourth degree perineal laceration during delivery is O70.3. The full clinical description is "Fourth degree perineal laceration during delivery". O70.3 is a billable/specific code that can be used on insurance claims and medical billing.
What does ICD-10 code O70.3 mean?
ICD-10-CM code O70.3 represents “Fourth degree perineal laceration during delivery”. It is classified under Chapter 15: Pregnancy, Childbirth and the Puerperium and is a billable/specific code that can be used on a claim.
Is O70.3 a billable code?
Yes, O70.3 is a billable/specific ICD-10-CM code and can be used to indicate a diagnosis on a medical claim.
What chapter is O70.3 in?
O70.3 is in Chapter 15: Pregnancy, Childbirth and the Puerperium (codes O00-O9A).
What codes cannot be used with O70.3?
O70.3 has Excludes1 notes indicating codes that cannot be used together with it, including: supervision of normal pregnancy (Z34.-); obstetric high vaginal laceration alone (O71.4).
Are additional codes required with O70.3?
Yes, when using O70.3, also report: code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known..
What SNOMED CT codes does O70.3 map to?
O70.3 maps to 7 SNOMED CT concepts: 249632006, 399031001, 16950007, 34262005, 199935005, and 2 more. SNOMED CT is a clinical terminology used in electronic health records.
What are the UMLS CUIs for O70.3?
O70.3 is linked to 3 UMLS Concept Unique Identifiers: C1275806, C2909383, C2909384. The UMLS (Unified Medical Language System) integrates multiple biomedical vocabularies maintained by the U.S. National Library of Medicine.
How does O70.3 relate to ICF functioning codes?
ICF (International Classification of Functioning, Disability and Health) codes describe how conditions like fourth degree perineal laceration during delivery affect a person's functioning — body functions, activities, participation, and environmental factors. AutoICD provides ICF Core Sets for 12+ conditions and can map clinical text to ICF categories automatically. Browse the ICF directory to explore functioning codes.
What is the ICD-11 equivalent of O70.3?
O70.3 maps to the ICD-11 code: JB09.3 (Fourth degree perineal laceration during delivery).
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Includes SNOMED Clinical Terms® (SNOMED CT®) used by permission of SNOMED International. Includes content from the UMLS Metathesaurus, courtesy of the U.S. National Library of Medicine.