Old laceration of muscles of pelvic floor

This code describes a previously sustained tear or injury to the muscles that form the floor of the pelvis, which has since healed or is in a chronic state. This can involve muscles such as the levator ani or coccygeus, often resulting from childbirth trauma or other pelvic injuries. It indicates a historical rather than an acute injury.

Use this code when documentation specifies a healed or old laceration of the pelvic floor muscles. This is typically found in the patient's history or as a chronic finding during a gynecological or urological examination. Documentation should clearly differentiate it from an acute or current injury.

• Distinguish carefully between "old" or "healed" and "current" or "acute" lacerations; acute injuries are coded differently.
• Review documentation for specific muscles involved if further detail is provided, though this code is general.
• Do not use for obstetric lacerations during the current pregnancy; those are coded with obstetric codes.