CODE 1 Intact Should not be recorded in conjunction with any other code. CODE 2 1st degree laceration/vaginal graze Graze, laceration, rupture or tear of the perineal skin during delivery that may be considered to be slight or that involves one or more of the following structures: - fourchette
- labia
- periurethral tissue (excluding involvement of urethra)
- vagina, low
- skin
- vulva.
Should not be recorded in conjunction with any other code except for Code 5 (Episiotomy). CODE 3 2nd degree laceration Perineal laceration, rupture or tear as in Code 2 occurring during delivery, also involving: - pelvic floor
- perineal muscles
- vaginal muscles.
Excludes laceration involving the anal sphincter. Should not be recorded in conjunction with any other code except for Code 5 (Episiotomy). CODE 4 3rd degree laceration Perineal laceration, rupture or tear as in Code 3 occurring during delivery, also involving: - anal sphincter (excluding involvement of anal or rectal mucosa)
- rectovaginal septum
- sphincter not otherwise specified (NOS).
Excludes laceration involving the anal or rectal mucosa. Should not be recorded in conjunction with any other code except for Code 5 (Episiotomy). CODE 7 4th degree laceration Perineal laceration, rupture or tear as in Code 4 occurring during delivery, also involving: - anal mucosa
- rectal mucosa.
Should not be recorded in conjunction with any other code except for Code 5 (Episiotomy). CODE 88 Other perineal laceration, rupture or tear May include haematoma or unspecified perineal tear. Should not be recorded in conjunction with any other code except for Code 5 (Episiotomy). |