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ICD-10 Guide
ICD-10 CodesV43.41

V43.41

Billable

Person boarding or alighting a car injured in collision with sport utility vehicle

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

Code Description

ICD-10 V43.41 is a billable code used to indicate a diagnosis of person boarding or alighting a car injured in collision with sport utility vehicle.

Key Diagnostic Point:

The ICD-10 code V43.41 is used to classify injuries sustained by individuals who are boarding or alighting from a car and are subsequently involved in a collision with a sport utility vehicle (SUV). This scenario typically occurs in urban settings where pedestrian traffic is high, and vehicles are in close proximity to sidewalks or parking areas. Injuries can range from minor abrasions to severe trauma, including fractures or head injuries, depending on the speed of the SUV and the circumstances of the incident. Accurate coding of this event is crucial for understanding the epidemiology of pedestrian injuries and for implementing public health interventions aimed at reducing such incidents. Documentation should include details about the circumstances of the injury, the type of vehicle involved, and the specific actions of the injured party at the time of the incident.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the incident circumstances
  • Differentiation between types of vehicles involved
  • Potential for multiple injuries requiring additional codes
  • Variability in injury severity and required treatment

Audit Risk Factors

  • Inadequate documentation of the incident details
  • Misclassification of the type of vehicle involved
  • Failure to capture all injuries sustained
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, including the type of vehicle and the actions of the patient at the time of injury.

Common Clinical Scenarios

Patients presenting with injuries after being struck while boarding or alighting from a vehicle.

Billing Considerations

Consideration of the patient's location (e.g., crosswalk, parking lot) and the speed of the SUV can impact the severity of injuries and subsequent coding.

Trauma Surgery

Documentation Requirements

Trauma documentation should include detailed descriptions of injuries, surgical interventions, and the mechanism of injury.

Common Clinical Scenarios

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

Billing Considerations

Trauma surgeons must ensure that all injuries are documented and coded accurately to reflect the full extent of trauma.

Coding Guidelines

Inclusion Criteria

Use V43.41 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • The external cause code should be reported in the secondary position to the injury code to provide context for the injury

Exclusion Criteria

Do NOT use V43.41 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 vehicle collision.

Documentation Requirements

Documentation must include the patient's history, examination findings, and treatment provided.

Specialty Considerations

Emergency medicine specialists should ensure that all relevant details of the incident are captured.

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 aimed at reducing pedestrian injuries.

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 aimed at reducing pedestrian injuries.

Reimbursement & Billing Impact

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 aimed at reducing pedestrian injuries.

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 be documented to support the use of V43.41?

Documentation should include the type of vehicle involved, the actions of the injured person at the time of the incident, and any relevant environmental factors that may have contributed to the injury.