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v1.0.0
ICD-10 Guide
ICD-10 CodesV44.2

V44.2

Billable

Person on outside of car injured in collision with heavy transport vehicle or bus in nontraffic accident

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

Code Description

ICD-10 V44.2 is a billable code used to indicate a diagnosis of person on outside of car injured in collision with heavy transport vehicle or bus in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V44.2 is used to classify injuries sustained by individuals who are outside of a vehicle and are involved in a collision with a heavy transport vehicle or bus during a nontraffic accident. This scenario typically occurs in settings such as parking lots, loading docks, or private property where vehicles are in motion but not on public roadways. Injuries can range from minor bruises to severe trauma, including fractures, head injuries, or even fatalities. Accurate coding of this incident is crucial for understanding the epidemiology of such injuries, facilitating appropriate treatment, and ensuring proper reimbursement for healthcare services rendered. Documentation should include details about the circumstances of the accident, the type of vehicle involved, and the nature of the injuries sustained to support the use of this specific external cause code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact circumstances of the accident can be challenging.
  • Differentiating between traffic and nontraffic accidents requires careful assessment.
  • Involvement of multiple vehicles or parties may complicate coding.
  • Accurate documentation of the location and type of accident is essential.

Audit Risk Factors

  • Inadequate documentation of the accident's circumstances.
  • Misclassification of traffic vs. nontraffic accidents.
  • Failure to capture the specific type of vehicle involved.
  • Inconsistent coding practices among different coders.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with trauma after being struck by a bus while unloading goods in a parking lot.

Billing Considerations

Ensure that the mechanism of injury is explicitly documented to support the use of V44.2.

Trauma Surgery

Documentation Requirements

Comprehensive trauma assessments and operative reports should detail the injuries sustained and the circumstances of the accident.

Common Clinical Scenarios

Trauma patients requiring surgical intervention after being hit by a heavy vehicle in a nontraffic setting.

Billing Considerations

Accurate coding is critical for trauma registries and quality reporting.

Coding Guidelines

Inclusion Criteria

Use V44.2 When
  • According to ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to report the external cause code to provide context for the injury and to comply with coding requirements

Exclusion Criteria

Do NOT use V44.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, level 3

Clinical Scenario

Used when a patient presents to the emergency department with injuries from a nontraffic accident involving a heavy vehicle.

Documentation Requirements

Document the nature of the injuries, the mechanism of injury, and any treatments provided.

Specialty Considerations

Emergency medicine providers should ensure that the external cause code is linked to the visit.

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 and facilitating better tracking of injury patterns related to nontraffic accidents.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy and facilitating better tracking of injury patterns related to nontraffic accidents.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy and facilitating better tracking of injury patterns related to nontraffic accidents.

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 types of injuries are typically associated with V44.2?

Injuries can range from minor abrasions and contusions to severe trauma such as fractures, head injuries, and internal injuries, depending on the circumstances of the collision.

How can I ensure accurate coding for V44.2?

Ensure that documentation clearly describes the circumstances of the accident, the type of vehicle involved, and the nature of the injuries sustained. Linking the external cause code to the primary diagnosis is also essential.