NVD with Second Degree Perineal tear

Dear All,

One OB/GYN doubt as follows; Patient undergone NVD with episiotomy. The diagnosis is obviously NVD and in addition to this patient has second degree perineal tear. My doubt is if we code NVD we should not code any other complication since NVD (O80) is a stand alone code.Please advise how to code this scenario. This is an IP case the dx is both NVD and Second Degree tear.

Thanks In Advance
Ravi

NVD with Second Degree Perineal tear