2008 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.* > 2008 ICD-9-CM Diagnosis 664.3 Fourth-degree 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 Therefore, this code may be out of date.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 664.3 can be accessed here. 664.3 is a non-specific code that cannot be used to specify a diagnosis 664.3 contains 11 index entries View the ICD-9-CM Volume 1 664.* hierarchy ICD9Data's sister site ProcedureCodes.com launches with the 2008/09 CPT® codes - read more on the ICD9Data.com blog. Index entries containing 664.3: Delivery complicated (by) NEC 669.9 laceration 664.9 anus (sphincter) (healed) (old) 654.8 with mucosa 664.3 perineum, perineal 664.4 fourth degree 664.3 rectovaginal (septum) (without perineal laceration) 665.4 with perineum 664.2 with anal or rectal mucosa 664.3 sphincter ani (healed) (old) 654.8 with mucosa 664.3 Laceration - see also Wound, open, by site anus (sphincter) 879.6 complicating delivery (healed) (old) 654.8 with laceration of anal or rectal mucosa 664.3 perineum, perineal (old) (postpartal) 618.7 complicating delivery 664.4 fourth degree 664.3 anal sphincter (healed) (old) 654.8 rectovaginal with septum 664.2 with anal mucosa 664.3 sphincter (anal) (healed) (old) 654.8 with anal mucosa 664.3 rectovaginal (septum) complicating delivery 665.4 with perineum 664.2 involving anal or rectal mucosa 664.3 vagina complicating delivery 665.4 fourth degree 664.3 Tear, torn (traumatic) - see also Wound, open, by site anus, anal (sphincter) 863.89 complicating delivery (healed) (old) 654.8 with mucosa 664.3