COMPLICATIONS OCCURRING MAINLY IN THE COURSE OF LABOR AND DELIVERY (660-669)
The following fifth-digit subclassification is for use with categories 660-669 to denote the current episode of care:
0 unspecified as to episode of care or not applicable
1 delivered, with or without mention of antepartum condition
2 delivered, with mention of postpartum complication
3 antepartum condition or complication
4 postpartum condition or complication
664 Trauma to perineum and vulva during delivery
Requires fifth digit; valid digits are in [brackets] under each code. see beginning of section 660-669 for definitions.
Includes:
damage from instruments
that from extension of episiotomy
664.0: First-degree perineal laceration
[0,1,4]
Perineal laceration, rupture, or tear involving:
fourchette
hymen
labia
skin
vagina
vulva
664.1: Second-degree perineal laceration
[0,1,4]
Perineal laceration, rupture, or tear (following episiotomy) involving:
pelvic floor
perineal muscles
vaginal muscles
Excludes:
that involving anal sphincter (664.2)
664.2: Third-degree perineal laceration
[0,1,4]
Perineal laceration, rupture, or tear (following episiotomy) involving:
anal sphincter
rectovaginal septum
sphincter NOS
Excludes:
anal sphincter tear during delivery not associated with third-degree perineal laceration (664.6)
that with anal or rectal mucosal laceration (664.3)
664.3: Fourth-degree perineal laceration
[0,1,4]
Perineal laceration, rupture, or tear as classifiable to 664.2 and involving also:
anal mucosa
rectal mucosa
664.4: Unspecified perineal laceration
[0,1,4]
Central laceration
664.5: Vulval and perineal hematoma
[0,1,4]
664.6: Anal sphincter tear complicating delivery, not associated with third-degree perineal laceration
[0,1,4]
Excludes:
third-degree perineal laceration (664.2)
664.8: Other specified trauma to perineum and vulva
[0,1,4]
Periurethral trauma
664.9: Unspecified trauma to perineum and vulva
[0,1,4]
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