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ICD-10 Guide
ICD-10 CodesV43.04

V43.04

Billable

Car driver injured in collision with van in nontraffic accident

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

Code Description

ICD-10 V43.04 is a billable code used to indicate a diagnosis of car driver injured in collision with van in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V43.04 is used to classify injuries sustained by a car driver involved in a collision with a van that occurs outside of typical traffic scenarios. This may include incidents occurring in parking lots, private property, or other non-public roadways. Such collisions can lead to a variety of injuries ranging from minor bruises to severe trauma, including fractures, concussions, or internal injuries. Accurate coding of this incident is crucial for understanding the epidemiology of nontraffic-related injuries and for appropriate resource allocation in public health. Documentation should clearly indicate the circumstances of the accident, the type of vehicles involved, and the nature of the injuries sustained to ensure proper coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact nature of the accident (nontraffic vs. traffic)
  • Differentiating between types of vehicles involved
  • Documenting the specific injuries sustained
  • Understanding the context of the accident (e.g., location, circumstances)

Audit Risk Factors

  • Inadequate documentation of the accident's circumstances
  • Misclassification of the accident type (traffic vs. nontraffic)
  • Failure to specify the type of injuries sustained
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include a detailed account of the accident, including the mechanism of injury and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with injuries from collisions in parking lots or private driveways.

Billing Considerations

Ensure that the mechanism of injury is clearly documented to support the use of V43.04.

Trauma Surgery

Documentation Requirements

Trauma notes must detail the nature of the injuries, surgical interventions, and the context of the accident.

Common Clinical Scenarios

Trauma cases involving significant injuries from nontraffic collisions.

Billing Considerations

Accurate coding is essential for trauma registries and for tracking injury patterns.

Coding Guidelines

Inclusion Criteria

Use V43.04 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is important to capture the full context of the injury, including the location and circumstances of the accident

Exclusion Criteria

Do NOT use V43.04 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 to the emergency department with injuries from a nontraffic collision.

Documentation Requirements

Documentation must support the level of service, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine specialists should ensure that the reason for the visit aligns with the external cause code.

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, improving data accuracy for public health and injury prevention efforts.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy for public health and injury prevention efforts.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy for public health and injury prevention efforts.

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 is the importance of accurately coding V43.04?

Accurate coding of V43.04 is crucial for understanding the epidemiology of nontraffic injuries, ensuring appropriate resource allocation, and facilitating effective public health interventions.