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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] |
| 664.9 Unspecified trauma to perineum and vulva
[0,1,4] |