ICD-10 O70.2
Non-Billable HeaderThird degree perineal laceration during delivery
About ICD-10-CM O70.2
ICD-10-CM code O70.2 represents Third degree perineal laceration during delivery. This is a non-billable header code in the Pregnancy, Childbirth, and Puerperium chapter (block O70). The 2026 edition of ICD-10-CM O70.2 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Coding Tips for O70.2
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
Most O codes require a 7th character indicating trimester (1 = first, 2 = second, 3 = third). Some require fetus identification character. Code O09 (supervision of high-risk pregnancy) is required as a secondary code when applicable.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under O70.2. Per CMS ICD-10-CM Tabular 2026.
- 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
Type 1 Excludes
Pure excludes, these codes can never be coded together with O70.2. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- anal sphincter tear during delivery without third degree perineal laceration (O70.4)
- perineal laceration involving anal or rectal mucosa (O70.3)
Medicare LCD Coverage for O70.2
Local Coverage Determinations (LCDs) from CMS MACs that list O70.2 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing O70.2.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but O70.2 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with O70.2
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To O70.2
Other codes in section O60-O77 (Complications of labor and delivery).
ICD-10 O70.2, Billing FAQ
Is ICD-10 code O70.2 billable? +
No, O70.2 is a non-billable header code. Use a more specific child code from block O70 when submitting claims.
What other names or terms map to O70.2? +
ICD-10 O70.2 includes: 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.
What codes are Type 1 Excludes for O70.2? +
Type 1 Excludes (never code together with O70.2): anal sphincter tear during delivery without third degree perineal laceration (O70.4); perineal laceration involving anal or rectal mucosa (O70.3)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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