October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

O70 Perineal laceration during delivery

All 9 codes in the O70 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

9

Can lead a claim

9

Cannot lead a claim

0

What CMS assigns to O70

All 9 codes group to MMTA - Other. None of the 9 is assigned a comorbidity subgroup. Every code can lead a claim.

Every code in O70

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
O70.0First degree perineal laceration during deliveryCan lead a claimANone
O70.1Second degree perineal laceration during deliveryCan lead a claimANone
O70.2 Third degree perineal laceration during delivery
O70.20Third degree perineal laceration during delivery, unspecifiedCMS: Third degree perineal laceration during delivery, unspCan lead a claimANone
O70.21Third degree perineal laceration during delivery, IIIaCan lead a claimANone
O70.22Third degree perineal laceration during delivery, IIIbCan lead a claimANone
O70.23Third degree perineal laceration during delivery, IIIcCan lead a claimANone
O70.3Fourth degree perineal laceration during deliveryCan lead a claimANone
O70.4Anal sphincter tear complicating delivery, not associated with third degree lacerationCMS: Anal sphincter tear comp del, not assoc w third degree lacCan lead a claimANone
O70.9Perineal laceration during delivery, unspecifiedCan lead a claimANone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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