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ICD-10 Guide
ICD-10 CodesV43.92

V43.92

Billable

Unspecified car occupant injured in collision with other type car in traffic accident

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

Code Description

ICD-10 V43.92 is a billable code used to indicate a diagnosis of unspecified car occupant injured in collision with other type car in traffic accident.

Key Diagnostic Point:

The ICD-10 code V43.92 is used to classify injuries sustained by an unspecified car occupant involved in a collision with another type of vehicle during a traffic accident. This code is particularly relevant in cases where the specifics of the injury or the type of vehicle involved are not clearly documented. It encompasses a range of potential injuries, from minor to severe, and is crucial for understanding the impact of traffic accidents on public health. Accurate coding is essential for tracking injury patterns, resource allocation, and developing preventive measures. In clinical practice, this code may be used in emergency departments, trauma centers, and outpatient settings when a patient presents with injuries from a traffic accident but lacks detailed information about the incident. Proper documentation is vital to ensure that the code reflects the patient's condition accurately and supports appropriate treatment and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Lack of specificity in documentation regarding the type of vehicle involved.
  • Variability in injury severity and types that may not be clearly defined.
  • Potential for misclassification if additional details are not provided.
  • Need for comprehensive understanding of external cause coding guidelines.

Audit Risk Factors

  • Inadequate documentation supporting the use of this unspecified code.
  • Failure to capture additional details that could lead to more specific coding.
  • Inconsistent coding practices among different coders.
  • Potential for upcoding if the severity of injuries is not accurately reflected.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, patient presentation, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with lacerations, fractures, or contusions following a traffic accident.

Billing Considerations

Ensure that all relevant details about the accident are captured to support the use of this code.

Trauma Surgery

Documentation Requirements

Detailed trauma assessments, including injury patterns and surgical interventions, must be documented.

Common Clinical Scenarios

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

Billing Considerations

Accurate coding is critical for trauma registries and quality improvement initiatives.

Coding Guidelines

Inclusion Criteria

Use V43.92 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to document the circumstances of the injury, including the location and type of vehicle involved, to ensure accurate coding

Exclusion Criteria

Do NOT use V43.92 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a patient presents with significant injuries from a traffic accident.

Documentation Requirements

Document the patient's condition, treatment provided, and any referrals made.

Specialty Considerations

Emergency medicine specialists should ensure thorough documentation 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 detailed coding of external causes of injuries, improving data collection and analysis for traffic-related incidents. However, it has also introduced complexity in coding practices, necessitating ongoing education for coders.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, improving data collection and analysis for traffic-related incidents. However, it has also introduced complexity in coding practices, necessitating ongoing education for coders.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, improving data collection and analysis for traffic-related incidents. However, it has also introduced complexity in coding practices, necessitating ongoing education for coders.

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 V43.92 instead of a more specific code?

Use V43.92 when the specifics of the accident or the type of vehicle involved are not documented. If more details are available, opt for a more specific code to accurately reflect the patient's condition.