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v1.0.0
ICD-10 Guide
ICD-10 CodesV47.4

V47.4

Billable

Person boarding or alighting a car injured in collision with fixed or stationary object

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

Code Description

ICD-10 V47.4 is a billable code used to indicate a diagnosis of person boarding or alighting a car injured in collision with fixed or stationary object.

Key Diagnostic Point:

The ICD-10 code V47.4 is used to classify injuries sustained by individuals who are boarding or alighting from a vehicle and are subsequently involved in a collision with a fixed or stationary object. This scenario typically occurs in urban environments where pedestrians or passengers may be exiting a vehicle near curbs, parked cars, or other immovable structures. The injuries can range from minor abrasions to severe trauma, depending on the speed of the vehicle and the nature of the impact. Accurate coding of this incident is crucial for understanding the epidemiology of such injuries, facilitating public health interventions, and ensuring appropriate resource allocation for trauma care. Documentation should include details about the circumstances of the incident, the type of vehicle 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 incident circumstances
  • Variability in injury severity and types
  • Potential for multiple external cause codes to apply
  • Differentiation from similar codes related to vehicle accidents

Audit Risk Factors

  • Inadequate documentation of the incident details
  • Misclassification of the type of object involved in the collision
  • Failure to capture the mechanism of injury accurately
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly describe the mechanism of injury, including the type of vehicle and object involved, as well as the patient's condition upon arrival.

Common Clinical Scenarios

Patients presenting with lacerations, fractures, or contusions after exiting a vehicle and colliding with a stationary object.

Billing Considerations

Consideration of other injuries that may not be immediately apparent, such as internal injuries or concussions.

Trauma Surgery

Documentation Requirements

Detailed operative reports and trauma assessments should include the mechanism of injury and any surgical interventions performed.

Common Clinical Scenarios

Severe trauma cases requiring surgical intervention due to collisions with fixed objects.

Billing Considerations

Documentation must reflect the full extent of injuries and any complications arising from the incident.

Coding Guidelines

Inclusion Criteria

Use V47.4 When
  • According to ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code to provide a complete picture of the patient's condition
  • It is essential to capture the external cause of injury accurately, including the location and circumstances of the event

Exclusion Criteria

Do NOT use V47.4 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 collision with a fixed object.

Documentation Requirements

Documentation must include the patient's presenting symptoms, history of the incident, and any treatments provided.

Specialty Considerations

Emergency medicine specialists should ensure that all relevant details of the incident are captured for accurate coding.

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, including those related to fixed objects. This specificity enhances data collection for public health initiatives and improves the accuracy of billing.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those related to fixed objects. This specificity enhances data collection for public health initiatives and improves the accuracy of billing.

Reimbursement & Billing Impact

billing.

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 V47.4?

Documentation should include details about the incident, such as the type of vehicle, the fixed object involved, the circumstances leading to the injury, and the nature of the injuries sustained.