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ICD-10 Guide
ICD-10 CodesV49.1

V49.1

Billable

Passenger injured in collision with other and unspecified motor vehicles in nontraffic accident

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

Code Description

ICD-10 V49.1 is a billable code used to indicate a diagnosis of passenger injured in collision with other and unspecified motor vehicles in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V49.1 is used to classify injuries sustained by passengers involved in collisions with other motor vehicles or unspecified vehicles that occur outside of traditional traffic scenarios. This may include incidents such as collisions in parking lots, private property, or during vehicle loading and unloading. Accurate coding of this scenario is crucial for understanding the epidemiology of nontraffic-related injuries and for resource allocation in public health. Documentation should clearly indicate the circumstances of the accident, including the location and nature of the vehicles involved, to ensure appropriate coding and billing. This code is essential for capturing data on passenger injuries that occur in nontraffic settings, which can inform safety regulations and preventive measures.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact nature of the accident (nontraffic vs. traffic)
  • Identifying the type of vehicle involved (other or unspecified)
  • Documenting the location of the incident accurately
  • Differentiating between passenger injuries and driver injuries

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, location of the incident, and type of vehicles involved. Clear notes on the patient's condition upon arrival and any immediate interventions are also necessary.

Common Clinical Scenarios

Patients presenting with injuries from collisions in parking lots or during vehicle loading/unloading.

Billing Considerations

Emergency physicians should ensure that all relevant details are captured in the medical record to support accurate coding.

Trauma Surgery

Documentation Requirements

Trauma surgeons need detailed accounts of the injury mechanism, including the type of collision and the patient's trajectory during the incident.

Common Clinical Scenarios

Trauma cases involving passengers injured in nontraffic vehicle collisions requiring surgical intervention.

Billing Considerations

Accurate coding is critical for trauma registries and for understanding injury patterns in nontraffic scenarios.

Coding Guidelines

Inclusion Criteria

Use V49.1 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to capture the full context of the injury, including the external cause, to provide a complete picture of the patient's condition

Exclusion Criteria

Do NOT use V49.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a passenger 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 specific coding of nontraffic-related injuries, improving data accuracy and enhancing the ability to analyze injury patterns and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of nontraffic-related injuries, improving data accuracy and enhancing the ability to analyze injury patterns and outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of nontraffic-related injuries, improving data accuracy and enhancing the ability to analyze injury patterns and outcomes.

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 incidents does V49.1 cover?

V49.1 covers injuries sustained by passengers in collisions with other vehicles or unspecified vehicles that occur outside of traditional traffic scenarios, such as in parking lots or private property.