In simple words: During childbirth, sometimes a small cut is made to widen the vaginal opening to help the baby come out more easily. This is called an episiotomy. If the area tears naturally during birth, it is repaired similarly. This code is used when the doctor who delivers the baby isn't the one who makes or repairs this cut or tear.

This code describes an episiotomy (incision in the perineum to widen the vaginal opening) or vaginal repair performed by a healthcare professional other than the attending physician during childbirth. The procedure facilitates delivery and is typically performed by someone like a midwife or family practice physician when the attending OB/GYN is not performing the delivery.

Example 1: A midwife performs a delivery and also performs an episiotomy to facilitate delivery of the baby's head. She then repairs the episiotomy after the placenta is delivered., A family practice physician attends a delivery where a second-degree tear occurs spontaneously. The family practice physician repairs the tear. The attending OB/GYN was not present at the delivery., In a hospital setting where the OB/GYN hospitalist is not the delivering provider, a family physician performs the delivery. A tear occurs which the OB hospitalist then repairs.

Documentation should clearly indicate who performed the delivery, who performed the episiotomy or repair, the degree of any lacerations, the type of episiotomy (if performed), and the method of repair.