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ICD-10 Guide
ICD-10 CodesV44.6

V44.6

Billable

Car passenger injured in collision with heavy transport vehicle or bus in traffic accident

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

Code Description

ICD-10 V44.6 is a billable code used to indicate a diagnosis of car passenger injured in collision with heavy transport vehicle or bus in traffic accident.

Key Diagnostic Point:

The ICD-10 code V44.6 is used to classify injuries sustained by a car passenger involved in a traffic accident where a heavy transport vehicle or bus is a participant. This code is essential for capturing the external cause of morbidity and mortality related to vehicular collisions, particularly those involving larger vehicles that can cause significant trauma due to their mass and size. Clinical scenarios may include a passenger in a sedan who is struck by a bus at an intersection or a passenger in a car that collides with a truck on a highway. Accurate coding of this incident is crucial for public health data, insurance claims, and understanding the epidemiology of traffic-related injuries. Documentation should include details about the accident, the type of vehicles involved, and the nature of the injuries sustained to ensure proper coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, vehicle types, and passenger details.

Common Clinical Scenarios

Patients presenting with trauma after being a passenger in a vehicle collision with a bus or truck.

Billing Considerations

Ensure that all injuries are documented, including minor ones, as they may affect treatment and coding.

Trauma Surgery

Documentation Requirements

Trauma assessments must include detailed descriptions of injuries and the circumstances of the accident.

Common Clinical Scenarios

Patients requiring surgical intervention after a collision with a heavy vehicle.

Billing Considerations

Consider the potential for multiple trauma codes due to the nature of injuries from heavy vehicle collisions.

Coding Guidelines

Inclusion Criteria

Use V44.6 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 type of vehicle involved and the location of the accident

Exclusion Criteria

Do NOT use V44.6 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 emergency department after a collision.

Documentation Requirements

Document the reason for the visit, including details of the accident and injuries.

Specialty Considerations

Emergency medicine specialists should ensure thorough documentation of the mechanism of injury.

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. V44.6 provides a clear classification for injuries from collisions with heavy vehicles, enhancing epidemiological 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. V44.6 provides a clear classification for injuries from collisions with heavy vehicles, enhancing epidemiological 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. V44.6 provides a clear classification for injuries from collisions with heavy vehicles, enhancing epidemiological 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 types of injuries are typically associated with V44.6?

Injuries can range from minor soft tissue injuries to severe trauma such as fractures, head injuries, and internal injuries, depending on the severity of the collision.