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v1.0.0
ICD-10 Guide
ICD-10 CodesV43.1

V43.1

Billable

Car passenger injured in collision with car, pick-up truck or van in nontraffic accident

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

Code Description

ICD-10 V43.1 is a billable code used to indicate a diagnosis of car passenger injured in collision with car, pick-up truck or van in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V43.1 is used to classify injuries sustained by a passenger in a vehicle involved in a collision with another vehicle, specifically in a nontraffic accident scenario. Nontraffic accidents may include incidents occurring in parking lots, driveways, or private property where vehicles collide without being on a public roadway. This code is crucial for capturing the external cause of morbidity and mortality related to vehicular accidents outside of traditional traffic settings. Accurate coding of such incidents helps in understanding patterns of injuries, resource allocation for trauma care, and prevention strategies. Documentation should include details about 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

  • Differentiating between traffic and nontraffic accidents
  • Understanding the context of the accident (e.g., private property vs. public road)
  • Accurate documentation of the type of vehicles involved
  • Potential overlap with other external cause codes

Audit Risk Factors

  • Inadequate documentation of the accident's circumstances
  • Misclassification of traffic vs. nontraffic incidents
  • Failure to specify the type of vehicles involved
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly describe the mechanism of injury, including the location of the accident and the vehicles involved.

Common Clinical Scenarios

Patients presenting with injuries from collisions in parking lots or driveways, such as fractures or contusions.

Billing Considerations

Ensure that the documentation specifies that the incident was a nontraffic accident to avoid misclassification.

Trauma Surgery

Documentation Requirements

Trauma registries should include detailed descriptions of the incident, including the type of vehicles and the nature of injuries.

Common Clinical Scenarios

Trauma cases involving passengers injured in nontraffic collisions requiring surgical intervention.

Billing Considerations

Accurate coding is essential for trauma data analysis and resource allocation.

Coding Guidelines

Inclusion Criteria

Use V43.1 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to document the circumstances of the injury clearly and to use the most specific code available
  • 1 should be reported only when the injury is confirmed to be from a nontraffic accident

Exclusion Criteria

Do NOT use V43.1 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 accident.

Documentation Requirements

Document the nature of the injuries and the circumstances of the accident.

Specialty Considerations

Emergency medicine specialists should ensure that the coding reflects 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 detailed coding of external causes, including nontraffic accidents. This specificity aids in better tracking of injury patterns and resource allocation in trauma care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes, including nontraffic accidents. This specificity aids in better tracking of injury patterns and resource allocation in trauma care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of external causes, including nontraffic accidents. This specificity aids in better tracking of injury patterns and resource allocation in trauma care.

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 should I document to support the use of V43.1?

Document the specifics of the accident, including the location, type of vehicles involved, and the nature of the injuries sustained. This information is crucial for accurate coding and billing.