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ICD-10 Guide
ICD-10 CodesV49.09

V49.09

Billable

Driver injured in collision with other motor vehicles in nontraffic accident

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

Code Description

ICD-10 V49.09 is a billable code used to indicate a diagnosis of driver injured in collision with other motor vehicles in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V49.09 is used to classify injuries sustained by a driver involved in a collision with other motor vehicles that occurs outside of traditional traffic scenarios. This may include incidents such as collisions in parking lots, private property, or during off-road activities. The code captures the external cause of morbidity and mortality associated with these types of accidents, which can range from minor injuries to severe trauma. Accurate coding is essential for understanding the epidemiology of nontraffic-related motor vehicle accidents and for ensuring appropriate resource allocation in public health and trauma care settings. Documentation should clearly indicate the circumstances of the accident, including the location and nature of the collision, to support the use of this code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact nature of the accident (nontraffic vs. traffic)
  • Differentiating between types of vehicles involved
  • Understanding the context of the accident (e.g., private property vs. public road)
  • Ensuring accurate documentation of the incident details

Audit Risk Factors

  • Inadequate documentation of the accident's circumstances
  • Misclassification of traffic vs. nontraffic accidents
  • 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 include a detailed account of the accident, including the location, type of vehicles involved, and mechanism of injury.

Common Clinical Scenarios

Patients presenting with injuries from collisions in parking lots or private property incidents.

Billing Considerations

Emergency physicians should ensure that the mechanism of injury is clearly documented to support the use of V49.09.

Trauma Surgery

Documentation Requirements

Trauma documentation must include a thorough description of the incident, including the patient's role as a driver and the specifics of the collision.

Common Clinical Scenarios

Trauma cases involving drivers injured in nontraffic collisions, such as accidents during recreational driving.

Billing Considerations

Trauma surgeons should be aware of the implications of coding for nontraffic accidents, as it may affect trauma registry data.

Coding Guidelines

Inclusion Criteria

Use V49.09 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 to justify the use of V49
  • Coders should also ensure that the external cause code is reported in the correct sequence, typically following the diagnosis code

Exclusion Criteria

Do NOT use V49.09 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 to the emergency department with injuries from a nontraffic vehicle collision.

Documentation Requirements

Documentation must support the level of service, including details of the injury and treatment provided.

Specialty Considerations

Emergency medicine specialists should ensure that the visit is coded accurately based on the complexity of the case.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more granular coding of external causes of injuries, including nontraffic accidents. This has improved the ability to track and analyze injury data, which is crucial for public health initiatives and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more granular coding of external causes of injuries, including nontraffic accidents. This has improved the ability to track and analyze injury data, which is crucial for public health initiatives and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more granular coding of external causes of injuries, including nontraffic accidents. This has improved the ability to track and analyze injury data, which is crucial for public health initiatives and resource allocation.

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 accidents does V49.09 cover?

V49.09 covers injuries sustained by drivers in collisions with other motor vehicles that occur outside of traditional traffic scenarios, such as in parking lots or private property.

How should I document a nontraffic accident for coding purposes?

Documentation should include a detailed account of the accident, including the location, type of vehicles involved, and the mechanism of injury to support the use of V49.09.