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Compare/O70.2 vs O70.3

O70.2 vs O70.3

O70.2 (Third degree perineal laceration during delivery) compared with O70.3 (Fourth degree perineal laceration during delivery), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. O70.2 carries an Excludes1 note covering O70.3: “perineal laceration involving anal or rectal mucosa (O70.3)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

O70.2Third degree perineal laceration during deliveryO70.3Fourth degree perineal laceration during delivery
Billing statusNon-billable header

Report instead: O70.20, O70.21, O70.22, O70.23

Billable
ClassificationO00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A)
DefinitionThird degree perineal laceration during delivery is a non-billable ICD-10-CM category code (O70.2).Fourth degree perineal laceration during delivery is a billable ICD-10-CM diagnosis code (O70.3).
Includes
episiotomy extended by laceration
Perineal laceration, rupture or tear during delivery as in O70.1, also involving anal sphincter
Perineal laceration, rupture or tear during delivery as in O70.1, also involving rectovaginal septum
Perineal laceration, rupture or tear during delivery as in O70.1, also involving sphincter NOS
episiotomy extended by laceration
Perineal laceration, rupture or tear during delivery as in O70.2, also involving anal mucosa
Perineal laceration, rupture or tear during delivery as in O70.2, also involving rectal mucosa

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources