O70.4
Billable codeAnal sphincter tear complicating delivery, not associated with third degree laceration
The ICD-10 code for anal sphincter tear complicating delivery, not associated with third degree laceration is O70.4.
Clinical notes
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
- anal sphincter tear with third degree perineal laceration (O70.2-)
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- O70.0First degree perineal laceration during delivery
- O70.1Second degree perineal laceration during delivery
- O70.2Third degree perineal laceration during deliverynon-billable header
- O70.3Fourth degree perineal laceration during delivery
- O70.9Perineal laceration during delivery, unspecified
- O70.4Anal sphincter tear complicating delivery, not associated with third degree laceration
ICD-9-CM equivalent
Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.
- 66461Approximate match
- 66464Approximate match
- 66460Approximate match
Associated MS-DRGs
O70.4 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.
Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.