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v1.0.0
ICD-10 Guide
ICD-10 CodesV43.2

V43.2

Billable

Person on outside of car 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 V43.2 is a billable code used to indicate a diagnosis of person on outside of car injured in collision with car, pick-up truck or van in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V43.2 is used to classify injuries sustained by individuals who are outside of a vehicle and are involved in a collision with a car, pick-up truck, or van during a nontraffic accident. This code is particularly relevant in scenarios where pedestrians or individuals near parked vehicles are struck by moving vehicles in settings such as driveways, parking lots, or private property. The injuries can range from minor abrasions to severe trauma, including fractures or head injuries, depending on the speed of the vehicle and the nature of the impact. Accurate coding of this incident is crucial for understanding the epidemiology of such injuries and for implementing preventive measures in public health initiatives. Documentation must clearly indicate the circumstances of the accident, including the location and the nature of the collision, to support the use of this specific external cause code.

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 location of the incident accurately
  • Understanding the severity of injuries sustained

Audit Risk Factors

  • Inadequate documentation of the accident's circumstances
  • Misclassification of the accident type (traffic vs. nontraffic)
  • Failure to specify the type of vehicle involved
  • Inconsistent linkage between external cause codes and injury codes

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must include a detailed description of the incident, including the mechanism of injury and any witness statements if available.

Common Clinical Scenarios

Patients presenting with lacerations, fractures, or contusions after being struck by a vehicle in a parking lot.

Billing Considerations

Emergency physicians should ensure that the external cause code is linked to the primary diagnosis for accurate billing and epidemiological tracking.

Trauma Surgery

Documentation Requirements

Trauma documentation should include a comprehensive assessment of injuries, mechanism of injury, and any surgical interventions performed.

Common Clinical Scenarios

Trauma cases involving significant injuries from vehicle collisions, requiring surgical intervention.

Billing Considerations

Trauma surgeons must ensure that the coding reflects the severity of injuries and the circumstances of the accident to support appropriate reimbursement.

Coding Guidelines

Inclusion Criteria

Use V43.2 When
  • According to the ICD
  • CM Official Guidelines for Coding and Reporting, external cause codes should be used to provide additional information about the circumstances of an injury
  • It is essential to report the external cause code in conjunction with the appropriate injury diagnosis code
  • The external cause code should be as specific as possible to accurately reflect the incident

Exclusion Criteria

Do NOT use V43.2 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 vehicle collision.

Documentation Requirements

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

Specialty Considerations

Emergency medicine specialists 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, improving data collection and analysis for public health initiatives. V43.2 provides a clear distinction between traffic and nontraffic incidents, aiding in targeted prevention strategies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data collection and analysis for public health initiatives. V43.2 provides a clear distinction between traffic and nontraffic incidents, aiding in targeted prevention strategies.

Reimbursement & Billing Impact

reimbursement.

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 injuries are typically coded with V43.2?

Injuries coded with V43.2 can include a range of trauma such as fractures, lacerations, contusions, and head injuries sustained by individuals outside of vehicles involved in nontraffic accidents.