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ICD-10 Guide
ICD-10 CodesV43.43

V43.43

Billable

Person boarding or alighting a car injured in collision with pick-up truck

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

Code Description

ICD-10 V43.43 is a billable code used to indicate a diagnosis of person boarding or alighting a car injured in collision with pick-up truck.

Key Diagnostic Point:

The ICD-10 code V43.43 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 pick-up truck. This scenario typically occurs in urban settings where pedestrian traffic is high, and vehicles are in close proximity to one another. The injuries can range from minor abrasions to severe trauma, including fractures or head injuries, depending on the speed of the vehicles involved and the circumstances of the incident. Accurate coding of this event is crucial for understanding the epidemiology of traffic-related 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 location of the incident to ensure proper coding and analysis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the incident circumstances
  • Differentiation between various types of vehicles involved
  • Potential for multiple injuries requiring additional codes
  • Variability in state laws regarding pedestrian rights

Audit Risk Factors

  • Inadequate documentation of the circumstances leading to the injury
  • Failure to specify the type of vehicle involved
  • Incorrect coding of the injury severity
  • Omission of additional codes for co-existing injuries

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, patient presentation, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with trauma after being struck while boarding or alighting from a vehicle, often requiring imaging studies and trauma assessments.

Billing Considerations

Consideration of the patient's pre-existing conditions that may affect injury outcomes and treatment.

Trauma Surgery

Documentation Requirements

Detailed operative notes and injury assessments are necessary, including descriptions of all injuries sustained and surgical interventions performed.

Common Clinical Scenarios

Trauma cases involving complex injuries from vehicular collisions, often requiring multidisciplinary care.

Billing Considerations

Accurate coding of all injuries is critical for surgical planning and post-operative care.

Coding Guidelines

Inclusion Criteria

Use V43.43 When
  • According to ICD
  • CM 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, following the primary diagnosis code for the injury

Exclusion Criteria

Do NOT use V43.43 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 vehicular collision.

Documentation Requirements

Documentation must include a detailed history, examination findings, and medical decision-making.

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 accuracy and facilitating better public health tracking and intervention strategies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy and facilitating better public health tracking and intervention strategies.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy and facilitating better public health tracking and intervention strategies.

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 V43.43?

Use V43.43 when documenting injuries sustained by a person boarding or alighting from a car who is injured in a collision specifically with a pick-up truck. Ensure that the documentation supports the mechanism of injury.