ICD-9 Code 664.60

Anal sphincter tear complicating delivery, not associated with third-degree perineal laceration, unspecified as to episode of care or not applicable

Not Valid for Submission

664.60 is a legacy non-billable code used to specify a medical diagnosis of anal sphincter tear complicating delivery, not associated with third-degree perineal laceration, unspecified as to episode of care or not applicable. This code was replaced on September 30, 2015 by its ICD-10 equivalent.

ICD-9: 664.60
Short Description:Anal sphincter tear NOS
Long Description:Anal sphincter tear complicating delivery, not associated with third-degree perineal laceration, unspecified as to episode of care or not applicable

Convert 664.60 to ICD-10

The following crosswalk between ICD-9 to ICD-10 is based based on the General Equivalence Mappings (GEMS) information:

  • O70.4 - Anal sphincter tear comp del, not assoc w third degree lac

Code Classification

  • Complications of pregnancy, childbirth, and the puerperium (630–679)
    • Complications occurring mainly in the course of labor and delivery (660-669)
      • 664 Trauma to perineum and vulva during delivery

Information for Medical Professionals

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-9 Code Edits are applicable to this code:

Information for Patients


Childbirth Problems

While childbirth usually goes well, complications can happen. They can cause a risk to the mother, baby, or both. Possible complications include

  • Preterm (premature) labor, when labor starts before 37 completed weeks of pregnancy
  • Problems with the umbilical cord
  • Problems with the position of the baby, such as breech, in which the baby is going to come out feet first
  • Birth injuries

For some of these problems, the baby may need to be delivered surgically by a Cesarean section.

  • Assisted delivery with forceps
  • Brachial plexus injury in newborns
  • Breech birth
  • Caput succedaneum
  • Fractured clavicle in the newborn
  • Meconium aspiration syndrome
  • Placenta previa
  • Premature rupture of membranes
  • Sheehan syndrome
  • Vacuum-assisted delivery
  • When you pass your due date

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ICD-9 Footnotes

General Equivalence Map Definitions
The ICD-9 and ICD-10 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.