Third Degree Perineal Laceration During Delivery

Codes in subcategory O70.2, Third degree perineal laceration during delivery, have been further expanded to subclassify third degree lacerations as grade IIIa, IIIb or IIIc depending on the severity of the trauma. The American Congress of Obstetricians and Gynecologists (ACOG), through its collaborative hub, the Women’s Health Registry Alliance (reVITALize), initiative worked on the current classification of 3rd and 4th degree perineal lacerations to advance more robust data collection by moving toward standardization with the Royal College of Obstetricians and Gynaecologists. The reVITALize definition for perineal lacerations is: 1° - Injury to perineal skin only2° - Injury...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews an ICD-10-CM update related to third-degree perineal lacerations during delivery. It places the change in the context of obstetric documentation standardization and quality reporting efforts associated with professional organizations in women’s health. The article is useful for coders, billers, clinical documentation teams, and obstetric practices that need to understand the scope of the revised classification and the documentation themes surrounding it.

Why This Topic Matters

Accurate obstetric documentation and diagnosis coding support data quality, case identification, and reporting consistency. This article helps readers understand the scope of the classification update affecting third-degree perineal lacerations during delivery.

What You Will Learn

  • How the third-degree perineal laceration classification was expanded
  • Which organizations and initiatives are associated with the documentation standardization effort
  • What broad documentation and reporting considerations are connected to the update
  • Which ICD-10-CM codes were introduced for this obstetric diagnosis category

Who Should Read This

  • Medical coders
  • Coding auditors
  • Clinical documentation specialists
  • Obstetric clinicians
  • Revenue cycle staff
  • Quality improvement teams

Codes Discussed

  • ICD-10-CM: O70.20
  • ICD-10-CM: O70.21
  • ICD-10-CM: O70.22
  • ICD-10-CM: O70.23

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