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v1.0.0
ICD-10 Guide
ICD-10 CodesV51.3

V51.3

Billable

Unspecified occupant of pick-up truck or van injured in collision with pedal cycle in nontraffic accident

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

Code Description

ICD-10 V51.3 is a billable code used to indicate a diagnosis of unspecified occupant of pick-up truck or van injured in collision with pedal cycle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V51.3 is used to classify injuries sustained by an unspecified occupant of a pick-up truck or van involved in a collision with a pedal cycle during a nontraffic accident. This code is particularly relevant in scenarios where the incident occurs outside of typical roadway environments, such as in parking lots, private property, or during recreational activities. The injuries can range from minor to severe, depending on the circumstances of the collision, the speed of the vehicles involved, and the protective measures in place (e.g., seat belts, airbags). Accurate coding is essential for tracking injury patterns, understanding the epidemiology of such incidents, and facilitating appropriate public health interventions. Documentation should clearly indicate the nature of the accident, the location, and the specifics of the injuries sustained to ensure proper coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in the term 'unspecified occupant' which may lead to misclassification.
  • Variability in documentation quality regarding the specifics of the accident.
  • Potential overlap with other external cause codes that may apply.
  • Need for precise location details to differentiate between traffic and nontraffic incidents.

Audit Risk Factors

  • Inadequate documentation of the accident's circumstances.
  • Failure to specify the type of injuries sustained.
  • Misclassification of the accident type (traffic vs. nontraffic).
  • Inconsistent coding practices among different coders.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include a detailed account of the incident, including the mechanism of injury and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with injuries from collisions in parking lots or during recreational activities involving bicycles.

Billing Considerations

Ensure that the documentation captures the specifics of the accident to support the use of V51.3.

Trauma Surgery

Documentation Requirements

Trauma notes must detail the nature of the injuries, the mechanism of injury, and any surgical interventions performed.

Common Clinical Scenarios

Trauma cases involving occupants of vehicles who have sustained injuries from nontraffic collisions.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use V51.3 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used in conjunction with appropriate injury codes
  • Document the specifics of the incident, including the location and circumstances, to support the use of V51

Exclusion Criteria

Do NOT use V51.3 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 nontraffic accident.

Documentation Requirements

Document the nature of the injuries, the mechanism of injury, and any treatments 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 external causes of injuries, improving data collection and analysis for public health initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data collection and analysis for public health initiatives.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data collection and analysis for public health initiatives.

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

When should I use V51.3?

Use V51.3 when documenting injuries sustained by an unspecified occupant of a pick-up truck or van involved in a collision with a pedal cycle during a nontraffic accident. Ensure that the documentation supports the use of this code.