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v1.0.0
ICD-10 Guide
ICD-10 CodesV42.3

V42.3

Billable

Unspecified car occupant injured in collision with two- or three-wheeled motor vehicle in nontraffic accident

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 V42.3 is a billable code used to indicate a diagnosis of unspecified car occupant injured in collision with two- or three-wheeled motor vehicle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V42.3 is used to classify injuries sustained by an unspecified car occupant involved in a collision with a two- or three-wheeled motor vehicle during a nontraffic accident. Nontraffic accidents can occur in various settings, such as private property or parking lots, where vehicles are not in motion on public roads. This code is essential for capturing data related to injuries that may not be reported in traditional traffic accident statistics, thus providing a more comprehensive understanding of injury patterns. Accurate coding of this scenario is crucial for public health data, resource allocation, and injury prevention strategies. Clinicians must ensure that the circumstances of the accident are well-documented to support the use of this code, as it encompasses a broad range of potential injuries and situations.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in defining 'nontraffic' accidents
  • Variability in documentation practices across providers
  • Potential overlap with other external cause codes
  • Need for precise details about the incident

Audit Risk Factors

  • Insufficient documentation of the accident circumstances
  • Misclassification of the type of accident (traffic vs. nontraffic)
  • Failure to specify the vehicle type involved
  • Inconsistent coding practices among different providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, location of the incident, and any relevant patient history to support the use of V42.3.

Common Clinical Scenarios

Patients presenting with injuries from collisions in parking lots or driveways, where two- or three-wheeled vehicles are involved.

Billing Considerations

Emergency providers should ensure that the details of the incident are accurately captured in the medical record to avoid coding errors.

Trauma Surgery

Documentation Requirements

Trauma surgeons need detailed accounts of the injury mechanism, including the type of vehicles involved and the circumstances of the accident.

Common Clinical Scenarios

Trauma cases involving car occupants injured in collisions with motorcycles or scooters, particularly in nontraffic settings.

Billing Considerations

Accurate coding is critical for trauma registries and for understanding injury patterns in nontraffic incidents.

Coding Guidelines

Inclusion Criteria

Use V42.3 When
  • According to ICD
  • 10 coding guidelines, coders must ensure that the external cause code accurately reflects the circumstances of the injury
  • Documentation should include the location of the incident, the type of vehicles involved, and any relevant patient history
  • Coders should also follow the guidelines for sequencing external cause codes appropriately

Exclusion Criteria

Do NOT use V42.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used when a patient presents with injuries from a nontraffic collision.

Documentation Requirements

Documentation must support the level of service provided, including details of the injury and treatment.

Specialty Considerations

Emergency medicine providers should ensure that the visit is coded accurately based on the complexity of the case.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including nontraffic accidents. This specificity aids in better data collection and analysis for public health initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including nontraffic accidents. This specificity aids in better data collection and analysis for public health initiatives.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including nontraffic accidents. This specificity aids in better data collection and analysis for public health initiatives.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What types of incidents does V42.3 cover?

V42.3 covers injuries sustained by car occupants in collisions with two- or three-wheeled motor vehicles during nontraffic incidents, such as those occurring in parking lots or private property.