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v1.0.0
ICD-10 Guide
ICD-10 CodesV52.1

V52.1

Billable

Passenger in pick-up truck or van injured in collision with two- or three-wheeled motor vehicle in nontraffic accident

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

Code Description

ICD-10 V52.1 is a billable code used to indicate a diagnosis of passenger in pick-up truck or van injured in collision with two- or three-wheeled motor vehicle in nontraffic accident.

Key Diagnostic Point:

This code is used to classify injuries sustained by passengers in pick-up trucks or vans involved in collisions with two- or three-wheeled motor vehicles during nontraffic accidents. Nontraffic accidents can occur in various settings, such as private property or parking lots, where vehicles are not operating on public roads. The injuries may range from minor to severe, depending on the circumstances of the collision, including speed, angle of impact, and the use of safety restraints. Accurate coding of this incident is crucial for understanding the epidemiology of such injuries, guiding public health interventions, and ensuring appropriate reimbursement for medical services rendered. Documentation should include details about the accident's location, the nature of the collision, and the specific injuries sustained by the passenger.

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 (pick-up truck or van)
  • Documenting the specific injuries sustained
  • Understanding the context of the accident (e.g., private property)

Audit Risk Factors

  • Inadequate documentation of the accident's nontraffic nature
  • Failure to specify the type of vehicle involved
  • Misclassification of the injury severity
  • 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 accident, and any pre-existing conditions that may affect treatment.

Common Clinical Scenarios

Patients presenting with fractures, lacerations, or concussions following a collision with a two- or three-wheeled vehicle.

Billing Considerations

Emergency physicians should ensure that the narrative in the medical record clearly describes the nontraffic nature of the incident.

Trauma Surgery

Documentation Requirements

Trauma documentation should include detailed descriptions of injuries, surgical interventions, and the mechanism of injury.

Common Clinical Scenarios

Trauma cases involving significant injuries from collisions, requiring surgical intervention or intensive care.

Billing Considerations

Trauma surgeons must correlate the injuries with the specific circumstances of the accident to ensure accurate coding.

Coding Guidelines

Inclusion Criteria

Use V52.1 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be reported in conjunction with the primary diagnosis code
  • The external cause code should reflect the specific circumstances of the injury, including the type of vehicle involved and the nature of the accident

Exclusion Criteria

Do NOT use V52.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used for patients presenting with injuries from a nontraffic accident.

Documentation Requirements

Documentation must support the level of service provided, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine specialists should ensure that the visit is appropriately coded 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 accuracy and facilitating better public health tracking and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy and facilitating better public health tracking and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy and facilitating better public health tracking 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 is the importance of accurately coding V52.1?

Accurate coding of V52.1 is essential for proper reimbursement, tracking injury patterns, and informing public health initiatives aimed at reducing nontraffic accident injuries.