O70.3Fourth degree perineal laceration during delivery
Code usage status
Primary diagnosis
May be used as the primary diagnosis
Apply only when it matches the confirmed diagnosis and the documented clinical record.
Specificity
Complete code in the classification
Use when the diagnosis matches and no exclusion applies.
- Chapter XV
- Pregnancy, childbirth and the puerperium
- Group O60-O75
- Complications of labour and delivery
- Official Vietnamese name
- Rách tầng sinh môn độ IV trong đẻ
- Additional WHO coding guidance
- Perineal laceration, rupture or tear as in O70.2, also involving: anal mucosa during delivery rectal mucosa during delivery
Related O70 codes
O70
Perineal laceration during delivery
O70.0
Primary diagnosis candidate
First degree perineal laceration during delivery
O70.1
Primary diagnosis candidate
Second degree perineal laceration during delivery
O70.2
Primary diagnosis candidate
Third degree perineal laceration during delivery
O70.9
Primary diagnosis candidate
Perineal laceration during delivery, unspecified
Clinical record checklist
View coding guide →- Confirm that the code matches the final documented diagnosis.
- Use one primary-diagnosis code and record only relevant additional conditions.
- Review Ministry indicators, inclusions, exclusions and notes.
- Do not infer a diagnosis beyond the clinical record.
2026 regulatory basis
Indicators are taken from columns 24–29 of the classification accompanying Circular 06/2026/TT-BYT, cross-referenced with Decision 1849/QĐ-BYT and Official Dispatch 4059/BYT-BH.
