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O70.4

Billable

Anal sphincter tear complicating delivery, not associated with third degree laceration

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A tear of the anal sphincter muscle during childbirth that occurs without an associated third degree perineal laceration.

Coding Tips

  • •This code is used when the anal sphincter is injured independently, not as part of a third degree tear
  • •Document clearly that this is an isolated sphincter injury separate from perineal laceration

Excludes 1 — Do NOT code together

  • anal sphincter tear with third degree perineal laceration (O70.2-)

Code Hierarchy

└O70Perineal laceration during delivery└O70.4Anal sphincter tear complicating delivery, not associated with third degree laceration
└O70.4Anal sphincter tear complicating delivery, not associated with third degree laceration

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