AHA Coding Clinic® for ICD-9 - 2007 Issue 4; VOLUMES 1 AND 2 NEW/REVISED CODES

Anal Sphincter Tear

Effective October 1, 2007, new codes have been created to identify anal sphincter tears. Currently, the only code for anal sphincter tear associated with delivery is that included with a third degree perineal laceration. However, anal sphincter tears can occur during delivery independent of third degree lacerations, and such tears may not be identified until they complicate a subsequent delivery. In addition to being a complicating factor in a delivery, anal sphincter tears are responsible for fecal incontinence. Fecal incontinence may be the first symptom that leads to a diagnosis of an old, nonhealed anal sphincter tear in non-gravid...

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