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v1.0.0
ICD-10 Guide
ICD-10 CodesV43.3

V43.3

Billable

Unspecified car occupant 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 V43.3 is a billable code used to indicate a diagnosis of unspecified car occupant injured in collision with car, pick-up truck or van in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V43.3 is used to classify injuries sustained by an unspecified car occupant involved in a collision with a car, pick-up truck, or van during a nontraffic accident. Nontraffic accidents may include incidents occurring in parking lots, driveways, or private property where vehicles are involved but not on public roadways. This code is particularly relevant for emergency departments and trauma centers where patients present with injuries from such incidents. Common injuries may include fractures, contusions, or lacerations, and the code helps in tracking the epidemiology of vehicle-related injuries outside of traffic scenarios. Accurate coding is essential for understanding the burden of these injuries on public health and for resource allocation in trauma care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in documentation regarding the specifics of the accident.
  • Variability in the definition of nontraffic accidents across different jurisdictions.
  • Potential overlap with other external cause codes that may apply.
  • Need for precise details about the circumstances of the injury for accurate coding.

Audit Risk Factors

  • Inadequate documentation of the accident circumstances.
  • Misclassification of traffic vs. nontraffic incidents.
  • Failure to specify the type of vehicle involved.
  • Inconsistent use of external cause codes in patient records.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed account of the accident, including location, vehicle type, and nature of injuries.

Common Clinical Scenarios

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

Billing Considerations

Ensure clarity in documentation to differentiate between traffic and nontraffic incidents.

Trauma Surgery

Documentation Requirements

Comprehensive trauma assessment including mechanism of injury and injury severity.

Common Clinical Scenarios

Trauma cases involving multiple injuries from nontraffic vehicle collisions.

Billing Considerations

Accurate coding is crucial for trauma registry data and research.

Coding Guidelines

Inclusion Criteria

Use V43.3 When
  • Follow the ICD
  • CM Official Guidelines for Coding and Reporting, ensuring that the external cause code is used in conjunction with the appropriate injury codes
  • Document the circumstances of the injury clearly to support the use of V43

Exclusion Criteria

Do NOT use V43.3 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 vehicle collision.

Documentation Requirements

Document the nature of the visit, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine specialists should ensure that the visit is appropriately documented to support the level of service billed.

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 incidents, which aids in better tracking and understanding of injury patterns.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including nontraffic incidents, which aids in better tracking and understanding of injury patterns.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including nontraffic incidents, which aids in better tracking and understanding of injury patterns.

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

When should I use V43.3?

Use V43.3 when documenting injuries sustained by a car occupant in a collision with another vehicle in a nontraffic setting, ensuring that the specifics of the incident are well-documented.