O70.23 Third degree perineal laceration during delivery, IIIc

ICD10CM code

#### Name of the Condition
- Third degree perineal laceration during delivery, IIIc

#### Summary
- Third degree perineal laceration during delivery, IIIc (ICD code O70.23) refers to severe tearing that occurs in the perineum during childbirth. This tear extends into the anal sphincter and partially into the rectal mucosa but not completely through it.

#### Causes
- Most commonly, perineal lacerations occur as a result of the mechanical stress during vaginal delivery.

#### Risk Factors
- Risk factors include first-time vaginal deliveries, large birth weight of the baby, use of forceps or vacuum assistance during delivery, and episiotomies.

#### Symptoms
- Symptoms include significant pain, swelling, and bleeding around the perineal area, difficulty controlling bowel movements, and discomfort during urination.

#### Diagnosis
- Diagnosis is primarily through a physical examination by a healthcare professional immediately after delivery to assess the extent of the tear.

#### Treatment Options
- Treatment involves surgical repair to stitch and mend the torn tissues. Post-operative care includes pain relief management, use of stool softeners, and maintaining proper hygiene.

#### Prognosis and Follow-Up
- With proper treatment, healing is typically successful, but regular follow-up is important to monitor recovery and address any complications such as infection or prolonged discomfort.

#### Complications
- Potential complications include infection, incontinence issues, and pain during intercourse if not well-managed.

#### Lifestyle & Prevention
- Consider prenatal perineal massage techniques and exercises to strengthen pelvic floor muscles. Opting for controlled delivery techniques may also help reduce risk.

#### When to Seek Professional Help
- Patients should seek immediate medical attention if they experience heavy bleeding, signs of infection, or severe pain unresponsive to medication.

#### Additional Resources
- American College of Obstetricians and Gynecologists (ACOG)
- National Institute for Health and Care Excellence (NICE)

#### Tips for Medical Coders
- Ensure detailed documentation specifying the degree of laceration is obtained for accurate coding.
- Avoid confusing with less severe lacerations O70.2 or more severe versions O70.3.

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