JB09.3

ICD-11 MMS 2026-01

Fourth degree perineal laceration during delivery

Description

Perineal lacerations extending through the rectum's mucosa to expose its lumen.

Coding note from above levels

The codes included in this chapter are to be used for conditions related to or aggravated by the pregnancy, childbirth or by the puerperium (maternal causes or obstetric causes)

Index terms

  • Fourth degree perineal laceration during delivery
  • CPT - [complete perineal tear]
  • fourth degree laceration of perineum complicating delivery
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  • fourth degree obstetric laceration
  • fourth degree perineal laceration
  • fourth degree perineal tear
  • fourth degree perineal tear during delivery
  • fourth-degree perineal laceration, with delivery
  • Rectovaginal laceration involving anal or rectal mucosa with perineum, complicating delivery
  • laceration of anal or rectal mucosa complicating delivery
  • Third degree perineal laceration, rupture or tear also involving the anal mucosa
  • laceration of sphincter ani, with mucosa, complicating delivery
  • Third degree perineal laceration, rupture or tear also involving the rectal mucosa

Exclusions from above levels

  • 1C14 – Obstetrical tetanus
  • 22 – Injury, poisoning or certain other consequences of external causes
  • 23 – External causes (for mortality)
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  • 5A61.0 – Postpartum necrosis of pituitary gland
  • http://id.who.int/icd/entity/882114523 – Mental or behavioural disorders associated with pregnancy, childbirth or the puerperium

Sibling codes

  • JB09.0 – First degree perineal laceration during delivery
  • JB09.1 – Second degree perineal laceration during delivery
  • JB09.2 – Third degree perineal laceration during delivery
  • JB09.Z – Perineal laceration during delivery, unspecified

Foundation entity

Fourth degree perineal laceration during delivery – http://id.who.int/icd/entity/1473750098

Allowed postcoordination axes

Part of: JB09: Perineal laceration during delivery › 18: Pregnancy, childbirth or the puerperium