Is ICD-10-CM code O70 billable?

No, O70 (Perineal laceration during delivery) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code O70 belong to?

O70 belongs to Chapter 15 of the ICD-10-CM tabular list: O00–O9A (Pregnancy, Childbirth and the Puerperium).

O70Not billable, use a more specific code below

Perineal laceration during delivery

In Complications of labor and delivery (O60-O77), chapter 15: Pregnancy, Childbirth and the Puerperium

9 billable codes under O70: 6 are a CC; none map to an HCC.A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment.

Instructional notes

Includes: conditions that are coded here

episiotomy extended by laceration

Excludes1: not coded here, use a different code

obstetric high vaginal laceration alone (O71.4)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Coding of obstetric cases with O00-O9A codes: sequencing priority, trimester and fetus characters, principal diagnosis selection, delivery outcome, and pregnancy-related complications.

General Rules for Obstetric Cases (page 63)
Selection of OB Principal or First-listed Diagnosis (page 64)
Pre-existing conditions versus conditions due to the pregnancy (page 65)
Pre-existing hypertension in pregnancy (page 66)
Fetal Conditions Affecting the Management of the Mother (page 66)
HIV Infection in Pregnancy, Childbirth and the Puerperium (page 66)
Diabetes mellitus in pregnancy (page 66)
Long term use of insulin and oral hypoglycemics (page 67)

Read Section I.C.15 (page 63), 11 more topics

All codes under O70

O70 can't be used on a claim. Pick a billable code below; grey headings group them.

O70 MS-DRGs

As the principal diagnosis, all 9 billable codes under O70 group to MS-DRG 769 or 776 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

Other codes that refer to O70

Notes on these codes point to O70.

CH19 Excludes2: obstetric trauma (O70-O71)
N89.8 Excludes1: current obstetric trauma (O70.-, O71.4, O71.7-O71.8)
N90 Excludes1: current obstetric trauma (O70.-, O71.7-O71.8)
O71.4 Excludes1: obstetric high vaginal laceration with perineal laceration (O70.-)
S31.4 Excludes1: injury to vagina and vulva during delivery (O70.-, O71.4)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Postpartum Care

Taking home a new baby is one of the happiest times in a woman's life. But it also presents both physical and emotional challenges. : In addition to physical changes, you may feel sad or have the "baby blues." If you are extremely sad or are unable to care for yourself or your baby, you might have a serious condition called postpartum depression.

Wounds and Injuries

An injury is damage to your body. It is a general term that refers to harm caused by accidents, falls, hits, weapons, and more. In the U.S., millions of people injure themselves every year. These injuries range from minor to life-threatening. Injuries can happen at work or play, indoors or outdoors, driving a car, or walking across the street.

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.