O70.22

Third degree perineal laceration during delivery, IIIb

Billable code

This code does not map to a risk-adjusting HCC in the loaded models.

Coding notes

Excludes 1 never coded together · Excludes 2 may co-exist

This code · O70.22
Synonyms

Third degree perineal laceration during delivery with more than 50% external anal sphincter (EAS) thickness torn

Inherited from O70.2Third degree perineal laceration during delivery
Excludes 1

anal sphincter tear during delivery without third degree perineal laceration (O70.4) perineal laceration involving anal or rectal mucosa (O70.3)

Synonyms

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

Inherited from O70Perineal laceration during delivery
Includes

episiotomy extended by laceration

Excludes 1

obstetric high vaginal laceration alone (O71.4)

Inherited from chapter 15Pregnancy, childbirth and the puerperium
Excludes 1

supervision of normal pregnancy (Z34.-)

Excludes 2

mental and behavioral disorders associated with the puerperium (F53.-) obstetrical tetanus (A34) postpartum necrosis of pituitary gland (E23.0) puerperal osteomalacia (M83.0)

Use additional

code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.

Note

CODES FROM THIS CHAPTER ARE FOR USE ONLY ON MATERNAL RECORDS, NEVER ON NEWBORN RECORDS Codes from this chapter are for use for conditions related to or aggravated by the pregnancy, childbirth, or by the puerperium (maternal causes or obstetric causes) Trimesters are counted from the first day of the last menstrual period. They are defined as follows: 1st trimester- less than 14 weeks 0 days 2nd trimester- 14 weeks 0 days to less than 28 weeks 0 days 3rd trimester- 28 weeks 0 days until delivery

Official Guidelines for O70.22

FY 2026 ›

Sections that reference O70.22

Sections whose FY 2026 text names O70.22, its O70 category, or a range containing it — the chapter guidance above is the authoritative source.