ICD-10-CM Code O71.4

Obstetric high vaginal laceration alone

Version 2021 Billable Code Maternity Diagnoses Diagnoses For Females Only

Valid for Submission

O71.4 is a billable code used to specify a medical diagnosis of obstetric high vaginal laceration alone. The code is valid for the fiscal year 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code O71.4 might also be used to specify conditions or terms like genital tear resulting from childbirth, obstetric high vaginal laceration, obstetric high vaginal laceration - delivered, obstetric high vaginal laceration with postnatal problem, trauma to vagina during delivery, vaginal tear resulting from childbirth, etc

The code O71.4 is applicable to female patients aged 12 through 55 years inclusive. It is clinically and virtually impossible to use this code on a non-female patient outside the stated age range.

ICD-10:O71.4
Short Description:Obstetric high vaginal laceration alone
Long Description:Obstetric high vaginal laceration alone

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code O71.4:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Laceration of vaginal wall without perineal laceration

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • obstetric high vaginal laceration with perineal laceration O70

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code O71.4 are found in the index:


Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Maternity diagnoses - The Medicare Code Editor detects inconsistencies in maternity cases by checking a patient's age and any diagnosis on the patient's record. The maternity code edits apply to patients age ange is 9–64 years inclusive (e.g., diabetes in pregnancy, antepartum pulmonary complication).
  • Diagnoses for females only - The Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, these edits apply to FEMALES only .

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Genital tear resulting from childbirth
  • Obstetric high vaginal laceration
  • Obstetric high vaginal laceration - delivered
  • Obstetric high vaginal laceration with postnatal problem
  • Trauma to vagina during delivery
  • Vaginal tear resulting from childbirth

Convert O71.4 to ICD-9

  • 665.41 - High vaginal lacer-deliv (Approximate Flag)
  • 665.44 - High vaginal lac-postpar (Approximate Flag)

Code Classification

  • Pregnancy, childbirth and the puerperium (O00–O99)
    • Complications of labor and delivery (O60-O77)
      • Other obstetric trauma (O71)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021

Information for Patients


Postpartum Care

Also called: Post-pregnancy health

Taking home a new baby is one of the happiest times in a woman's life. But it also presents both physical and emotional challenges.

  • Get as much rest as possible. You may find that all you can do is eat, sleep, and care for your baby. And that is perfectly okay. You will have spotting or bleeding, like a menstrual period, off and on for up to six weeks.
  • You might also have swelling in your legs and feet, feel constipated, have menstrual-like cramping. Even if you are not breastfeeding, you can have milk leaking from your nipples, and your breasts might feel full, tender, or uncomfortable.
  • Follow your doctor's instructions on how much activity, like climbing stairs or walking, you can do for the next few weeks.
  • Doctors usually recommend that you abstain from sexual intercourse for four to six weeks after birth.

In addition to physical changes, you may feel sad or have the "baby blues." If you are extremely sad or are unable to care for yourself or your baby, you might have a serious condition called postpartum depression.

Dept. of Health and Human Services Office on Women's Health

  • After vaginal delivery - in the hospital (Medical Encyclopedia)
  • Losing weight after pregnancy (Medical Encyclopedia)
  • Questions to ask your doctor about going home with your baby (Medical Encyclopedia)
  • Questions to ask your doctor about post pregnancy care (Medical Encyclopedia)
  • Vaginal delivery - discharge (Medical Encyclopedia)

[Learn More]

Wounds and Injuries

Also called: Traumatic injuries

An injury is damage to your body. It is a general term that refers to harm caused by accidents, falls, hits, weapons, and more. In the U.S., millions of people injure themselves every year. These injuries range from minor to life-threatening. Injuries can happen at work or play, indoors or outdoors, driving a car, or walking across the street.

Wounds are injuries that break the skin or other body tissues. They include cuts, scrapes, scratches, and punctured skin. They often happen because of an accident, but surgery, sutures, and stitches also cause wounds. Minor wounds usually aren't serious, but it is important to clean them. Serious and infected wounds may require first aid followed by a visit to your doctor. You should also seek attention if the wound is deep, you cannot close it yourself, you cannot stop the bleeding or get the dirt out, or it does not heal.

Other common types of injuries include

  • Animal bites
  • Bruises
  • Burns
  • Dislocations
  • Electrical injuries
  • Fractures
  • Sprains and strains
  • Bleeding (Medical Encyclopedia)
  • Crush injury (Medical Encyclopedia)
  • Cuts and puncture wounds (Medical Encyclopedia)
  • Electrical injury (Medical Encyclopedia)
  • Gunshot wounds -- aftercare (Medical Encyclopedia)
  • How wounds heal (Medical Encyclopedia)
  • Laceration - sutures or staples - at home (Medical Encyclopedia)
  • Lacerations - liquid bandage (Medical Encyclopedia)
  • Surgical wound care (Medical Encyclopedia)
  • Surgical wound infection - treatment (Medical Encyclopedia)
  • Wet to dry dressing changes (Medical Encyclopedia)
  • Wound care centers (Medical Encyclopedia)

[Learn More]