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ICD-10 Guide
ICD-10 CodesV43.61

V43.61

Billable

Car passenger injured in collision with sport utility vehicle in traffic accident

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

Code Description

ICD-10 V43.61 is a billable code used to indicate a diagnosis of car passenger injured in collision with sport utility vehicle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V43.61 is used to classify injuries sustained by a car passenger involved in a traffic accident specifically with a sport utility vehicle (SUV). This code falls under the external cause of morbidity and mortality, which encompasses various incidents leading to injuries, including accidents. In this scenario, the passenger may experience a range of injuries from minor to severe, depending on the nature of the collision, speed, and safety measures in place (e.g., seat belts, airbags). Accurate coding is crucial for understanding the epidemiology of traffic-related injuries, guiding public health initiatives, and ensuring appropriate resource allocation for trauma care. Documentation should include details about the accident, the type of vehicle involved, and the nature of the injuries sustained to support the use of this specific code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident circumstances
  • Differentiation between types of vehicles involved
  • Variability in injury severity and types
  • Potential for multiple external cause codes to be applicable

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Misclassification of the type of vehicle involved
  • Failure to capture all relevant external cause codes
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with trauma from a traffic accident, including fractures, lacerations, or concussions.

Billing Considerations

Ensure that all relevant details about the accident are captured to support the use of V43.61.

Trauma Surgery

Documentation Requirements

Trauma registries should include detailed descriptions of the accident, injury patterns, and surgical interventions.

Common Clinical Scenarios

Patients requiring surgical intervention due to severe injuries from a collision.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use V43.61 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is important to capture the sequence of events leading to the injury accurately

Exclusion Criteria

Do NOT use V43.61 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used when a passenger presents to the ED after a collision.

Documentation Requirements

Document the nature of the injuries and the mechanism of injury.

Specialty Considerations

Emergency medicine providers should ensure accurate coding of the visit based on the injury severity.

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, improving data accuracy for traffic-related injuries and enhancing public health tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy for traffic-related injuries and enhancing public health tracking.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy for traffic-related injuries and enhancing public health tracking.

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 V43.61?

Documentation should include details about the accident, the type of vehicle involved, the nature of injuries sustained, and any treatments provided.