O71.81 Laceration of uterus, not elsewhere classified

Billable ICD-10-CM code, FY2026.

Applies from O71 Other obstetric trauma

Includes

• obstetric damage from instruments

MS-DRG index

Defines the logic of DRG(s) 817-819 in MDC 14.

Approximate ICD-9-CM (GEMs)

• 665.81 Other specified obstetrical trauma, delivered, with or without mention of antepartum condition (approximate)
• 665.82 Other specified obstetrical trauma, delivered, with mention of postpartum complication (approximate)

Medicare Code Edits (MCE v43.1 (April 2026))

• Maternity diagnoses (age 9 through 64): Age conflict edit. These diagnoses are clinically expected only in patients age 9 through 64.

Code annotations containing back-references to O71.81

Back-references to O71.81

• Type 1 Excludes: O71.0 Rupture of uterus (spontaneous) before onset of labor ("laceration of uterus, NEC (O71.81)")
• Type 1 Excludes: O71.1 Rupture of uterus during labor ("laceration of uterus, NEC (O71.81)")

Back-references to O71.8

• Type 1 Excludes: M62.0 Separation of muscle (nontraumatic) ("diastasis recti complicating pregnancy, labor and delivery (O71.8)")
• Type 1 Excludes: N89.8 Other specified noninflammatory disorders of vagina ("current obstetric trauma (O70.-, O71.4, O71.7-O71.8)")
• Type 1 Excludes: N90 Other noninflammatory disorders of vulva and perineum ("current obstetric trauma (O70.-, O71.7-O71.8)")

Back-references to O71

• Type 1 Excludes: S37 Injury of urinary and pelvic organs ("obstetric trauma to pelvic organs (O71.-)")
• Type 1 Excludes: S37.6 Injury of uterus ("injury to uterus during delivery (O71.-)")

Diagnosis Index entries for O71.81

• Delivery (childbirth) (labor) › complicated › by › laceration (perineal) › uterus
• Delivery (childbirth) (labor) › complicated › by › laceration (perineal) › uterus › before labor
• Laceration › uterus › obstetrical trauma NEC
• Pregnancy (single) (uterine) › complicated by (care of) (management affected by) › laceration of uterus NEC

Nearby codes

• O71.4 Obstetric high vaginal laceration alone
• O71.5 Other obstetric injury to pelvic organs
• O71.6 Obstetric damage to pelvic joints and ligaments
• O71.7 Obstetric hematoma of pelvis
• O71.8 Other specified obstetric trauma
• O71.81 Laceration of uterus, not elsewhere classified (this code)
• O71.82 Other specified trauma to perineum and vulva
• O71.89 Other specified obstetric trauma
• O71.9 Obstetric trauma, unspecified