2010 ICD-9-CM Diagnosis Code 665.4 : High vaginal laceration during and after labor

Home > 2010 ICD-9-CM Diagnosis Codes > Complications Of Pregnancy, Childbirth, And The Puerperium 630-679 > Complications Occurring Mainly In The Course Of Labor And Delivery 660-669 > Other obstetrical trauma 665-

2010 ICD-9-CM Diagnosis Code 665.4

High vaginal laceration during and after labor

There are 3 ICD-9-CM codes below 665.4 that define this diagnosis in greater detail. Do not use this code on a reimbursement claim.
You are viewing the 2010 version of ICD-9-CM 665.4.
More recent version(s) of ICD-9-CM 665.4: 2011 2012 2013 2014 2015.

Applies To

Laceration of vaginal wall or sulcus without mention of perineal laceration

ICD-9-CM Volume 2 Index entries containing back-references to 665.4:

Colporrhexis 665.4
Delivery
- complicated (by) NEC 669.9
  - abdominal tumor, fetal 653.7
    - causing obstructed labor 660.1
  - abnormal, abnormality of
    - cervix 654.6
      - causing obstructed labor 660.2
    - forces of labor 661.9
    - formation of uterus 654.0
    - pelvic organs or tissues 654.9
      - causing obstructed labor 660.2
    - pelvis (bony) (major) NEC 653.0
      - causing obstructed labor 660.1
    - presentation or position NEC 652.9
      - causing obstructed labor 660.0
    - size, fetus 653.5
      - causing obstructed labor 660.1
    - soft parts (of pelvis) 654.9
      - causing obstructed labor 660.2
    - uterine contractions NEC 661.9
    - uterus (formation) 654.0
      - causing obstructed labor 660.2
    - vagina 654.7
      - causing obstructed labor 660.2
  - abnormally formed uterus (any type) (congenital) 654.0
    - causing obstructed labor 660.2
  - acromion presentation 652.8
    - causing obstructed labor 660.0
  - adherent placenta 667.0
    - with hemorrhage 666.0
  - adhesions, uterus (to abdominal wall) 654.4
  - advanced maternal age NEC 659.6
    - multigravida 659.6
    - primigravida 659.5
  - air embolism 673.0
  - amnionitis 658.4
  - amniotic fluid embolism 673.1
  - anesthetic death 668.9
  - annular detachment, cervix 665.3
  - antepartum hemorrhage - see Delivery, complicated, hemorrhage
  - anteversion, cervix or uterus 654.4
    - causing obstructed labor 660.2
  - apoplexy 674.0
    - placenta 641.2
  - arrested active phase 661.1
  - asymmetrical pelvis bone 653.0
    - causing obstructed labor 660.1
  - atony, uterus with hemorrhage (hypotonic) (inertia) 666.1
    - hypertonic 661.4
  - Bandl's ring 661.4
  - Battledore placenta - see Placenta, abnormal
  - bicornis or bicornuate uterus 654.0
    - causing obstructed labor 660.2
  - birth injury to mother NEC 665.9
  - bleeding (see also Delivery, complicated, hemorrhage) 641.9
  - breech presentation (assisted) (buttocks) (complete) (frank) (spontaneous) 652.2
    - with successful version 652.1
  - brow presentation 652.4
  - cephalopelvic disproportion (normally formed fetus) 653.4
    - causing obstructed labor 660.1
  - cerebral hemorrhage 674.0
  - cervical dystocia 661.2
  - chin presentation 652.4
    - causing obstructed labor 660.0
  - cicatrix
    - cervix 654.6
      - causing obstructed labor 660.2
    - vagina 654.7
      - causing obstructed labor 660.2
  - coagulation defect 649.3
  - colporrhexis 665.4
    - with perineal laceration 664.0
  - compound presentation 652.8
    - causing obstructed labor 660.0
  - compression of cord (umbilical) 663.2
    - around neck 663.1
    - cord prolapsed 663.0
  - contraction, contracted pelvis 653.1
    - causing obstructed labor 660.1
    - general 653.1
      - causing obstructed labor 660.1
    - inlet 653.2
      - causing obstructed labor 660.1
    - midpelvic 653.8
      - causing obstructed labor 660.1
    - midplane 653.8
      - causing obstructed labor 660.1
    - outlet 653.3
      - causing obstructed labor 660.1
  - contraction ring 661.4
  - cord (umbilical) 663.9
    - around neck, tightly or with compression 663.1
      - without compression 663.3
    - bruising 663.6
    - complication NEC 663.9
      - specified type NEC 663.8
    - compression NEC 663.2
    - entanglement NEC 663.3
      - with compression 663.2
    - forelying 663.0
    - hematoma 663.6
    - marginal attachment 663.8
    - presentation 663.0
    - prolapse (complete) (occult) (partial) 663.0
    - short 663.4
    - specified complication NEC 663.8
    - thrombosis (vessels) 663.6
    - vascular lesion 663.6
    - velamentous insertion 663.8
  - Couvelaire uterus 641.2
  - cretin pelvis (dwarf type) (male type) 653.1
    - causing obstructed labor 660.1
  - crossbirth 652.3
    - with successful version 652.1
    - causing obstructed labor 660.0
  - cyst (Gartner's duct) 654.7
  - cystocele 654.4
    - causing obstructed labor 660.2
  - death of fetus (near term) 656.4
    - early (before 22 completed weeks gestation) 632
  - deformity (acquired) (congenital)
    - fetus 653.7
      - causing obstructed labor 660.1
    - pelvic organs or tissues NEC 654.9
      - causing obstructed labor 660.2
    - pelvis (bony) NEC 653.0
      - causing obstructed labor 660.1
  - delay, delayed
    - delivery in multiple pregnancy 662.3
      - due to locked mates 660.5
    - following rupture of membranes (spontaneous) 658.2
      - artificial 658.3
  - depressed fetal heart tones 659.7
  - diastasis recti 665.8
  - dilatation
    - bladder 654.4
      - causing obstructed labor 660.2
    - cervix, incomplete, poor or slow 661.0
  - diseased placenta 656.7
  - displacement uterus NEC 654.4
    - causing obstructed labor 660.2
  - disproportion NEC 653.9
    - causing obstructed labor 660.1
  - disruptio uteri - see Delivery, complicated, rupture, uterus
  - distress
    - fetal 656.8
    - maternal 669.0
  - double uterus (congenital) 654.0
    - causing obstructed labor 660.2
  - dropsy amnion 657
  - dysfunction, uterus 661.9
    - hypertonic 661.4
    - hypotonic 661.2
      - primary 661.0
      - secondary 661.1
    - incoordinate 661.4
  - dystocia
    - cervical 661.2
    - fetal - see Delivery, complicated, abnormal, presentation
    - maternal - see Delivery, complicated, prolonged labor
    - pelvic - see Delivery, complicated, contraction pelvis
    - positional 652.8
    - shoulder girdle 660.4
  - eclampsia 642.6
  - ectopic kidney 654.4
    - causing obstructed labor 660.2
  - edema, cervix 654.6
    - causing obstructed labor 660.2
  - effusion, amniotic fluid 658.1
  - elderly multigravida 659.6
  - elderly primigravida 659.5
  - embolism (pulmonary) 673.2
    - air 673.0
    - amniotic fluid 673.1
    - blood-clot 673.2
    - cerebral 674.0
    - fat 673.8
    - pyemic 673.3
    - septic 673.3
  - entanglement, umbilical cord 663.3
    - with compression 663.2
    - around neck (with compression) 663.1
  - eversion, cervix or uterus 665.2
  - excessive
    - fetal growth 653.5
      - causing obstructed labor 660.1
    - size of fetus 653.5
      - causing obstructed labor 660.1
  - face presentation 652.4
    - causing obstructed labor 660.0
    - to pubes 660.3
  - failure, fetal head to enter pelvic brim 652.5
    - causing obstructed labor 660.0
  - female genital mutilation 660.8
  - fetal
    - acid-base balance 656.8
    - death (near term) NEC 656.4
      - early (before 22 completed weeks gestation) 632
    - deformity 653.7
      - causing obstructed labor 660.1
    - distress 656.8
    - heart rate or rhythm 659.7
    - reduction of multiple fetuses reduced to single fetus 651.7
  - fetopelvic disproportion 653.4
    - causing obstructed labor 660.1
  - fever during labor 659.2
  - fibroid (tumor) (uterus) 654.1
    - causing obstructed labor 660.2
  - fibromyomata 654.1
    - causing obstructed labor 660.2
  - forelying umbilical cord 663.0
  - fracture of coccyx 665.6
  - hematoma 664.5
    - broad ligament 665.7
    - ischial spine 665.7
    - pelvic 665.7
    - perineum 664.5
    - soft tissues 665.7
    - subdural 674.0
    - umbilical cord 663.6
    - vagina 665.7
    - vulva or perineum 664.5
  - hemorrhage (uterine) (antepartum) (intrapartum) (pregnancy) 641.9
    - accidental 641.2
    - associated with
      - afibrinogenemia 641.3
      - coagulation defect 641.3
        hyperfibrinolysis 641.3
        hypofibrinogenemia 641.3
    - cerebral 674.0
    - due to
      - low-lying placenta 641.1
      - placenta previa 641.1
      - premature separation of placenta (normally implanted) 641.2
      - retained placenta 666.0
      - trauma 641.8
      - uterine leiomyoma 641.8
    - marginal sinus rupture 641.2
    - placenta NEC 641.9
    - postpartum (atonic) (immediate) (within 24 hours) 666.1
      - with retained or trapped placenta 666.0
      - delayed 666.2
      - secondary 666.2
      - third stage 666.0
  - hourglass contraction, uterus 661.4
  - hydramnios 657
  - hydrocephalic fetus 653.6
    - causing obstructed labor 660.1
  - hydrops fetalis 653.7
    - causing obstructed labor 660.1
  - hypertension - see Hypertension, complicating pregnancy
  - hypertonic uterine dysfunction 661.4
  - hypotonic uterine dysfunction 661.2
  - impacted shoulders 660.4
  - incarceration, uterus 654.3
    - causing obstructed labor 660.2
  - incomplete dilation (cervix) 661.0
  - incoordinate uterus 661.4
  - indication NEC 659.9
    - specified type NEC 659.8
  - inertia, uterus 661.2
    - hypertonic 661.4
    - hypotonic 661.2
    - primary 661.0
    - secondary 661.1
  - infantile
    - genitalia 654.4
      - causing obstructed labor 660.2
    - uterus (os) 654.4
      - causing obstructed labor 660.2
  - injury (to mother) NEC 665.9
  - intrauterine fetal death (near term) NEC 656.4
    - early (before 22 completed weeks gestation) 632
  - inversion, uterus 665.2
  - kidney, ectopic 654.4
    - causing obstructed labor 660.2
  - knot (true), umbilical cord 663.2
  - labor, premature (before 37 completed weeks gestation) 644.2
  - laceration 664.9
    - anus (sphincter) (healed) (old) 654.8
      - with mucosa 664.3
      - not associated with third-degree perineal laceration 664.6
    - bladder (urinary) 665.5
    - bowel 665.5
    - central 664.4
    - cervix (uteri) 665.3
    - fourchette 664.0
    - hymen 664.0
    - labia (majora) (minora) 664.0
    - pelvic
      - floor 664.1
      - organ NEC 665.5
    - 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
    - peritoneum 665.5
    - periurethral tissue 664.8
    - rectovaginal (septum) (without perineal laceration) 665.4
      - with perineum 664.2
        with anal or rectal mucosa 664.3
    - skin (perineum) 664.0
    - specified site or type NEC 664.8
    - sphincter ani (healed) (old) 654.8
      - with mucosa 664.3
      - not associated with third-degree perineal laceration 664.6
    - urethra 665.5
    - uterus 665.1
      - before labor 665.0
    - vagina, vaginal (deep) (high) (sulcus) (wall) (without perineal laceration) 665.4
      - with perineum 664.0
      - muscles, with perineum 664.1
    - vulva 664.0
  - lateroversion, uterus or cervix 654.4
    - causing obstructed labor 660.2
  - locked mates 660.5
  - low implantation of placenta - see Delivery, complicated, placenta, previa
  - mal lie 652.9
  - malposition
    - fetus NEC 652.9
      - causing obstructed labor 660.0
    - pelvic organs or tissues NEC 654.9
      - causing obstructed labor 660.2
    - placenta 641.1
      - without hemorrhage 641.0
    - uterus NEC or cervix 654.4
      - causing obstructed labor 660.2
  - malpresentation 652.9
    - causing obstructed labor 660.0
  - marginal sinus (bleeding) (rupture) 641.2
  - maternal hypotension syndrome 669.2
  - meconium in liquor 656.8
  - membranes, retained - see Delivery, complicated, placenta, retained
  - mentum presentation 652.4
    - causing obstructed labor 660.0
  - metrorrhagia (myopathia) - see Delivery, complicated, hemorrhage
  - metrorrhexis - see Delivery, complicated, rupture, uterus
  - multiparity (grand) 659.4
  - myelomeningocele, fetus 653.7
    - causing obstructed labor 660.1
  - Nägele's pelvis 653.0
    - causing obstructed labor 660.1
  - nonengagement, fetal head 652.5
    - causing obstructed labor 660.0
  - oblique presentation 652.3
    - causing obstructed labor 660.0
  - obstetric
    - shock 669.1
    - trauma NEC 665.9
  - obstructed labor 660.9
    - due to
      - abnormality of pelvic organs or tissues (conditions classifiable to 654.0-654.9) 660.2
      - deep transverse arrest 660.3
      - impacted shoulders 660.4
      - locked twins 660.5
      - malposition and malpresentation of fetus (conditions classifiable to 652.0-652.9) 660.0
      - persistent occipitoposterior 660.3
      - shoulder dystocia 660.4
  - occult prolapse of umbilical cord 663.0
  - oversize fetus 653.5
    - causing obstructed labor 660.1
  - pathological retraction ring, uterus 661.4
  - pelvic
    - arrest (deep) (high) (of fetal head) (transverse) 660.3
    - deformity (bone) - see also Deformity, pelvis, with disproportion
      - soft tissue 654.9
        causing obstructed labor 660.2
    - tumor NEC 654.9
      - causing obstructed labor 660.2
  - penetration, pregnant uterus by instrument 665.1
  - perforation - see Delivery, complicated, laceration
  - persistent
    - hymen 654.8
      - causing obstructed labor 660.2
    - occipitoposterior 660.3
  - placenta, placental
    - ablatio 641.2
    - abnormality 656.7
      - with hemorrhage 641.2
    - abruptio 641.2
    - accreta 667.0
      - with hemorrhage 666.0
    - adherent (without hemorrhage) 667.0
      - with hemorrhage 666.0
    - apoplexy 641.2
    - battledore- see Placenta, abnormal
    - detachment (premature) 641.2
    - disease 656.7
    - hemorrhage NEC 641.9
    - increta (without hemorrhage) 667.0
      - with hemorrhage 666.0
    - low (implantation) 641.1
      - without hemorrhage 641.0
    - malformation 656.7
      - with hemorrhage 641.2
    - malposition 641.1
      - without hemorrhage 641.0
    - marginal sinus rupture 641.2
    - percreta 667.0
      - with hemorrhage 666.0
    - premature separation 641.2
    - previa (central) (lateral) (marginal) (partial) 641.1
      - without hemorrhage 641.0
    - retained (with hemorrhage) 666.0
      - without hemorrhage 667.0
    - rupture of marginal sinus 641.2
    - separation (premature) 641.2
    - trapped 666.0
      - without hemorrhage 667.0
    - vicious insertion 641.1
  - polyhydramnios 657
  - polyp, cervix 654.6
    - causing obstructed labor 660.2
  - precipitate labor 661.3
  - premature
    - labor (before 37 completed weeks gestation) 644.2
    - rupture, membranes 658.1
      - delayed delivery following 658.2
  - presenting umbilical cord 663.0
  - previous
    - cesarean delivery, section 654.2
    - surgery
      - cervix 654.6
        causing obstructed labor 660.2
      - gynecological NEC 654.9
        causing obstructed labor 660.2
      - perineum 654.8
      - rectum 654.8
      - uterus NEC 654.9
        due to previous cesarean delivery, section 654.2
      - vagina 654.7
        causing obstructed labor 660.2
      - vulva 654.8
  - primary uterine inertia 661.0
  - primipara, elderly or old 659.5
  - prolapse
    - arm or hand 652.7
      - causing obstructed labor 660.0
    - cord (umbilical) 663.0
    - fetal extremity 652.8
    - foot or leg 652.8
      - causing obstructed labor 660.0
    - umbilical cord (complete) (occult) (partial) 663.0
    - uterus 654.4
      - causing obstructed labor 660.2
  - prolonged labor 662.1
    - first stage 662.0
    - second stage 662.2
    - active phase 661.2
    - due to
      - cervical dystocia 661.2
      - contraction ring 661.4
      - tetanic uterus 661.4
      - uterine inertia 661.2
        primary 661.0
        secondary 661.1
    - latent phase 661.0
  - pyrexia during labor 659.2
  - rachitic pelvis 653.2
    - causing obstructed labor 660.1
  - rectocele 654.4
    - causing obstructed labor 660.2
  - retained membranes or portions of placenta 666.2
    - without hemorrhage 667.1
  - retarded (prolonged) birth 662.1
  - retention secundines (with hemorrhage) 666.2
    - without hemorrhage 667.1
  - retroversion, uterus or cervix 654.3
    - causing obstructed labor 660.2
  - rigid
    - cervix 654.6
      - causing obstructed labor 660.2
    - pelvic floor 654.4
      - causing obstructed labor 660.2
    - perineum or vulva 654.8
      - causing obstructed labor 660.2
    - vagina 654.7
      - causing obstructed labor 660.2
  - Robert's pelvis 653.0
    - causing obstructed labor 660.1
  - rupture - see also Delivery, complicated, laceration
    - bladder (urinary) 665.5
    - cervix 665.3
    - marginal sinus 641.2
    - membranes, premature 658.1
    - pelvic organ NEC 665.5
    - perineum (without mention of other laceration) - see Delivery, complicated, laceration, perineum
    - peritoneum 665.5
    - urethra 665.5
    - uterus (during labor) 665.1
      - before labor 665.0
  - sacculation, pregnant uterus 654.4
  - sacral teratomas, fetal 653.7
    - causing obstructed labor 660.1
  - scar(s)
    - cervix 654.6
      - causing obstructed labor 660.2
    - cesarean delivery, section 654.2
      - causing obstructed labor 660.2
    - perineum 654.8
      - causing obstructed labor 660.2
    - uterus NEC 654.9
      - causing obstructed labor 660.2
      - due to previous cesarean delivery, section 654.2
    - vagina 654.7
      - causing obstructed labor 660.2
    - vulva 654.8
      - causing obstructed labor 660.2
  - scoliotic pelvis 653.0
    - causing obstructed labor 660.1
  - secondary uterine inertia 661.1
  - secundines, retained - see Delivery, complicated, placenta, retained
  - separation
    - placenta (premature) 641.2
    - pubic bone 665.6
    - symphysis pubis 665.6
  - septate vagina 654.7
    - causing obstructed labor 660.2
  - shock (birth) (obstetric) (puerperal) 669.1
  - short cord syndrome 663.4
  - shoulder
    - girdle dystocia 660.4
    - presentation 652.8
      - causing obstructed labor 660.0
  - Siamese twins 678.1
  - slow slope active phase 661.2
  - spasm
    - cervix 661.4
    - uterus 661.4
  - spondylolisthesis, pelvis 653.3
    - causing obstructed labor 660.1
  - spondylolysis (lumbosacral) 653.3
    - causing obstructed labor 660.1
  - spondylosis 653.0
    - causing obstructed labor 660.1
  - stenosis or stricture
    - cervix 654.6
      - causing obstructed labor 660.2
    - vagina 654.7
      - causing obstructed labor 660.2
  - sudden death, unknown cause 669.9
  - tear (pelvic organ) (see also Delivery, complicated, laceration) 664.9
    - anal sphincter (healed) (old) 654.8
      - not associated with third-degree perineal laceration 664.6
  - teratomas, sacral, fetal 653.7
    - causing obstructed labor 660.1
  - tetanic uterus 661.4
  - tipping pelvis 653.0
    - causing obstructed labor 660.1
  - transverse
    - arrest (deep) 660.3
    - presentation or lie 652.3
      - with successful version 652.1
      - causing obstructed labor 660.0
  - trauma (obstetrical) NEC 665.9
  - tumor
    - abdominal, fetal 653.7
      - causing obstructed labor 660.1
    - pelvic organs or tissues NEC 654.9
      - causing obstructed labor 660.2
  - umbilical cord (see also Delivery, complicated, cord) 663.9
    - around neck tightly, or with compression 663.1
    - entanglement NEC 663.3
      - with compression 663.2
    - prolapse (complete) (occult) (partial) 663.0
  - unstable lie 652.0
    - causing obstructed labor 660.0
  - uterine
    - inertia (see also Delivery, complicated, inertia, uterus) 661.2
    - spasm 661.4
  - vasa previa 663.5
  - velamentous insertion of cord 663.8
  - young maternal age 659.8
Injury 959.9
- instrumental (during surgery) 998.2
  - birth injury - see Birth, injury
  - nonsurgical (see also Injury, by site) 959.9
  - obstetrical 665.9
    - affecting fetus or newborn 763.89
    - bladder 665.5
    - cervix 665.3
    - high vaginal 665.4
    - perineal NEC 664.9
    - urethra 665.5
    - uterus 665.5
Laceration - see also Wound, open, by site
- rectovaginal (septum)
  - with
    - abortion - see Abortion, by type, with damage to pelvic organs
    - ectopic pregnancy (see also categories 633.0-633.9) 639.2
    - molar pregnancy (see also categories 630-632) 639.2
  - complicating delivery 665.4
    - with perineum 664.2
      - involving anal or rectal mucosa 664.3
  - following
    - abortion 639.2
    - ectopic or molar pregnancy 639.2
  - nonpuerperal 623.4
  - old (postpartal) 623.4
- vagina
  - with
    - abortion - see Abortion, by type, with damage to pelvic organs
    - ectopic pregnancy (see also categories 633.0-633.9) 639.2
    - molar pregnancy (see also categories 630-632) 639.2
    - perineal involvement, complicating delivery 664.0
  - complicating delivery 665.4
    - first degree 664.0
    - second degree 664.1
    - third degree 664.2
    - fourth degree 664.3
    - high 665.4
    - muscles 664.1
    - sulcus 665.4
    - wall 665.4
  - following
    - abortion 639.2
    - ectopic or molar pregnancy 639.2
  - nonpuerperal, nontraumatic 623.4
  - old (postpartal) 623.4

665.34

ICD9Data.com

665.40

ICD-9-CM codes are used in medical billing and coding to describe diseases, injuries, symptoms and conditions. ICD-9-CM 665.4 is one of thousands of ICD-9-CM codes used in healthcare. Although ICD-9-CM and CPT codes are largely numeric, they differ in that CPT codes describe medical procedures and services. Can't find a code? Start at the root of ICD-9-CM, check the 2010 ICD-9-CM Index or use the search engine at the top of this page to lookup any code.

Free ICD-9-CM Codes

Site Information

About · Privacy Policy · Disclaimer

Free ICD-10-CM/PCS Codes

Free HCPCS Codes

2016 · 2015 · 2014 · 2013 · 2012
2011 · 2010 · 2009 · 2008