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https://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/multimedia/vaginal-tears/sls-20077129
Oct 11, 2019 · Vaginal tears in childbirth. Vaginal tears during childbirth, also called perineal lacerations or tears, occur when the baby's head is coming through the vaginal opening and is either too large for the vagina to stretch around or the head is a normal size but the vagina doesn't stretch easily. These kinds of tears are relatively common.
https://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/multimedia/vaginal-tears/sls-20077129?s=2
Oct 11, 2019 · Previous Next 2 of 6 1st-degree vaginal tear. First-degree tears are the least severe, involving only the perineal skin — the skin between the vaginal opening and the rectum and the tissue directly beneath the skin. You might experience some mild pain or stinging during urination.
https://www.babycenter.com/0_perineal-tears_1451354.bc
This is your first vaginal delivery. You've previously given birth vaginally and had a third- or fourth-degree laceration. You have an assisted vaginal delivery, particularly if forceps are used. You have an episiotomy or you had one in a previous delivery. Your baby is big. Your baby is born in the posterior position (face-up). You push for a long time.
https://www.healthline.com/health/pregnancy/treatment-vaginal-cervical-lacerations
A third-degree laceration is a tear that extends through vaginal tissue, perineal skin, and perineal muscles that extend into the muscles around your anus. A fourth-degree laceration extends to ...Author: Rachel Nall, MSN, CRNA
https://www.aapc.com/discuss/threads/1st-2nd-degree-lacerations-during-delivery.147522/
Apr 14, 2017 · I have read some examples that say 1st and 2nd degree laceration repairs should not be coded; only 3rd and 4th. I have also read that 1st and 2nd degree can be coded. Aside from what the payers want specifically, what is the 'coding standard' for applying additional codes for 1st or 2nd degree lacerations when they occur during delivery?
https://www.jotscroll.com/forums/11/posts/178/perineal-tear-lacerations-types-1st-2nd-3rd-4th-degree-repair-care.html
1st degree perineal tears occur when the fourchette and vaginal mucosa are damaged and the underlying muscles become exposed but not torn. The vaginal muscles are still intact. A first degree perineal laceration therefore only extends through the vaginal and perineal skin. A repair of 1 st degree tear of the perineum is done by placing a single layer of interrupted 3-O chromic or Vicryl sutures …
http://www.hcpro.com/content.cfm?content_id=305393
Jun 11, 2014 · CPT considers the repair of a first- or second-degree spontaneous vaginal or perineal laceration an inherent part of the delivery code and not to be separately reported. A third- or fourth-degree laceration or a cervix laceration repair can be considered separately identifiable and reported separate from the global delivery code.
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