FY2024
Effective from
- Inherited rules changed
Fourth degree perineal laceration during delivery
Billable diagnosis code
CDC/NCHS · FY2024code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
supervision of normal pregnancy (Z34.-)
obstetric high vaginal laceration alone (O71.4)
Coverage depends on the payer, service and applicable policy. A billable code does not guarantee payment.
For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.
Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.
Official coding guidelines → · CMS ↗First observed · 2015-10-01
Latest recorded change · FY2024
Effective from
Fourth degree perineal laceration during delivery
Billable diagnosis code
CDC/NCHS · FY2024| All editions | Effective from | Code history |
|---|---|---|
| FY2016 | 2015-10-01 | First observed |
| FY2017 | 2016-10-01 | Inherited rules changed |
| FY2018 | 2017-10-01 | No tabular change |
| FY2019 | 2018-10-01 | Inherited rules changed |
| FY2020 | 2019-10-01 | No tabular change |
| FY2020 · April | 2020-04-01 | No tabular change |
| FY2021 | 2020-10-01 | No tabular change |
| FY2021 · 01-01 | 2021-01-01 | No tabular change |
| FY2022 | 2021-10-01 | No tabular change |
| FY2022 · 04-01 | 2022-04-01 | No tabular change |
| FY2023 | 2022-10-01 | No tabular change |
| FY2023 · 04-01 | 2023-04-01 | No tabular change |
| FY2024 | 2023-10-01 | Inherited rules changed |
| FY2024 · 04-01 | 2024-04-01 | No tabular change |
| FY2025 | 2024-10-01 | No tabular change |
| FY2025 · 04-01 | 2025-04-01 | No tabular change |
| FY2026 | 2025-10-01 | No tabular change |
| FY2026 · April | 2026-04-01 | No tabular change |
| FY2027 | 2026-10-01 | No tabular change |
Historical mapping only; not an automatic code substitution.
supervision of normal pregnancy (Z34.-)
code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
episiotomy extended by laceration
obstetric high vaginal laceration alone (O71.4)
Other entries in the same category; these are not automatic substitutes.
| Code | Description | Category · further specificity required |
|---|---|---|
| O70.0 | First degree perineal laceration during delivery | Billable / specific |
| O70.1 | Second degree perineal laceration during delivery | Billable / specific |
| O70.2 | Third degree perineal laceration during delivery | Category · further specificity required |
| O70.4 | Anal sphincter tear complicating delivery, not associated with third degree laceration | Billable / specific |
| O70.9 | Perineal laceration during delivery, unspecified | Billable / specific |
Official titles and instructions are preserved in their source language. Official sources ↗
Excludes 1 · perineal laceration involving anal or rectal mucosa (O70.3)