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2007 ICD-9-CM Volume 1 Diagnosis Codes Home > Complications Of Pregnancy, Childbirth, And The Puerperium 630-677 > Complications Occurring Mainly In The Course Of Labor And Delivery 660-669 > Trauma To Perineum And Vulva During Delivery 664.* > 2007 ICD-9-CM Diagnosis 664.4 Unspecified perineal laceration during delivery  On October 1, 2008 the 2009 ICD-9-CM codes came into effect. Therefore, this code may be out of date. The 2009 version of ICD-9-CM 664.4 can be accessed here. 664.4 is a non-specific code that cannot be used to specify a diagnosis 664.4 contains 8 index entries View the ICD-9-CM Volume 1 664.* hierarchy Index entries containing 664.4: Delivery complicated (by) NEC 669.9 laceration 664.9 central 664.4 perineum, perineal 664.4 first degree 664.0 second degree 664.1 third degree 664.2 fourth degree 664.3 central 664.4 extensive NEC 664.4 muscles 664.1 skin 664.0 slight 664.0 Laceration - see also Wound, open, by site central, complicating delivery 664.4 perineum, perineal (old) (postpartal) 618.7 complicating delivery 664.4 first degree 664.0 second degree 664.1 third degree 664.2 fourth degree 664.3 central 664.4 involving anal sphincter 664.2 fourchette 664.0 hymen 664.0 labia 664.0 pelvic floor 664.1 perineal muscles 664.1 rectovaginal with septum 664.2 with anal mucosa 664.3 skin 664.0 sphincter (anal) 664.2 with anal mucosa 664.3 vagina 664.0 vaginal muscles 664.1 vulva 664.0 secondary 674.2 Rupture, ruptured 553.9 perineum 624.8 during delivery (see also Laceration, perineum, complicating delivery) 664.4