2027 ICD-10-CM Diagnosis Code O71.4Obstetric high vaginal laceration alone
ICD-10-CM Codes›O00-O9A›O60-O77›O71
- Billable — Valid for Submission
- CC — Complication or Comorbidity
- Not Chronic
O71.4 is a billable ICD-10-CM diagnosis code for obstetric high vaginal laceration alone. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 769, 776. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 250 closely related codes. The code is restricted by the Medicare Code Editor to maternity cases (age 9 through 64). Coders also document this condition as genital tear resulting from childbirth. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Complications specified during childbirth.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for O71.4.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Genital tear resulting from childbirth
- Obstetric high vaginal laceration
- Trauma to vagina during delivery
- Vaginal tear resulting from childbirth
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to O71.4: its own notes plus those printed at O71 and Chapter 15. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- obstetric damage from instruments
Applicable To
Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.
- Laceration of vaginal wall without perineal laceration
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
- obstetric high vaginal laceration with perineal laceration (O70.-)
- supervision of normal pregnancy (Z34.-)
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Use Additional Code
Add a second code, after this one, to fully describe the condition.
- code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
Notes
General instructions on how these codes are used.
- 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
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name O71.4, its category, or a range that includes it.
Excludes1 5
These codes carry an Excludes1 note naming O71.4: they are not reported together with it, unless the two conditions are unrelated.
- N89.8 Other specified noninflammatory disorders of vaginacurrent obstetric trauma (O70.-, O71.4, O71.7-O71.8)
- O70 Perineal laceration during deliveryobstetric high vaginal laceration alone (O71.4)
- S31.4 Open wound of vagina and vulvainjury to vagina and vulva during delivery (O70.-, O71.4)
- S37 Injury of urinary and pelvic organsobstetric trauma to pelvic organs (O71.-) names O71.-, which includes this code
- S37.6 Injury of uterusinjury to uterus during delivery (O71.-) names O71.-, which includes this code
Excludes2 1
These codes carry an Excludes2 note naming O71.4: its condition is not part of those codes, and both may be reported when the patient has both.
- Chapter 19 (S00-T88) Injury, poisoning and certain other consequences of external causes
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
Injury See Also: specified injury type; T14.90
instrumental (during surgery) See: Laceration, accidental complicating surgery;
high vaginal O71.4
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Postpartum Care
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. :
Read the full article at MedlinePlus
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Convert O71.4 to ICD-9-CMHistory
Code HistoryHistory
Questions About O71.4Overview
What is the ICD-10 code for obstetric high vaginal laceration alone?
The ICD-10-CM code for obstetric high vaginal laceration alone is O71.4 (sometimes written as O714). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is O71.4 (Other obstetric trauma) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report obstetric high vaginal laceration alone on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does O71.4 group to?
When obstetric high vaginal laceration alone is the principal diagnosis on an inpatient stay, it groups to MS-DRG 769, 776, with relative weights from 0.6718 to 1.6666 depending on complications. Higher weights mean higher Medicare reimbursement.
Is O71.4 a CC or MCC?
CMS lists O71.4 as a CC (complication or comorbidity) for FY 2027. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 250 closely related codes in its exclusion list.
Who can O71.4 be reported for?
The Medicare Code Editor checks obstetric high vaginal laceration alone against patient demographics: this code is intended for maternity cases (age 9 through 64). Claims outside these limits are flagged as inconsistent.
