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ICD-10 Guide
ICD-10 CodesV52.3

V52.3

Billable

Unspecified occupant of 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 V52.3 is a billable code used to indicate a diagnosis of unspecified occupant of pick-up truck or van injured in collision with two- or three-wheeled motor vehicle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V52.3 is used to classify injuries sustained by occupants of pick-up trucks or vans involved in collisions with two- or three-wheeled motor vehicles, specifically in nontraffic accidents. Nontraffic accidents can occur in various settings, such as private property, parking lots, or during recreational activities. This code is particularly relevant for documenting injuries that do not occur on public roadways, which may include incidents occurring in residential areas or during off-road activities. Accurate coding is essential for understanding the epidemiology of such injuries, guiding public health interventions, and ensuring appropriate resource allocation for trauma care. Clinicians must provide detailed documentation of the circumstances surrounding the incident, including the location, type of vehicles involved, and the nature of the injuries sustained, to support the use of this code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in defining 'nontraffic' accidents
  • Variability in documentation practices among providers
  • Need for precise details about the incident
  • Potential overlap with other external cause codes

Audit Risk Factors

  • Insufficient documentation of the accident's circumstances
  • Misclassification of the type of vehicle involved
  • Failure to specify the location of the incident
  • Inconsistent coding practices across different providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must clearly describe the mechanism of injury, vehicle types, and location of the accident.

Common Clinical Scenarios

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

Billing Considerations

Ensure that the documentation specifies that the incident occurred in a nontraffic setting to justify the use of V52.3.

Trauma Surgery

Documentation Requirements

Trauma registries require detailed descriptions of the injury mechanism and vehicle involvement.

Common Clinical Scenarios

Trauma cases involving occupants of pick-up trucks or vans after collisions with motorcycles or scooters.

Billing Considerations

Accurate coding is critical for trauma statistics and resource allocation; ensure all details are captured.

Coding Guidelines

Inclusion Criteria

Use V52.3 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the external cause code is reported in conjunction with the appropriate injury diagnosis codes
  • Document the circumstances of the injury clearly to support the use of V52

Exclusion Criteria

Do NOT use V52.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used when treating patients with injuries from nontraffic accidents.

Documentation Requirements

Document the nature of the injury and the circumstances of the accident.

Specialty Considerations

Emergency medicine providers should ensure thorough documentation to support the visit level.

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 nontraffic accidents. This specificity aids in better tracking and understanding of injury patterns.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including nontraffic accidents. This specificity aids in better tracking and understanding of injury patterns.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including nontraffic accidents. This specificity aids in better tracking and understanding of injury patterns.

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 documenting the specifics of the accident?

Documenting the specifics helps ensure accurate coding, supports the use of the correct external cause code, and aids in understanding injury patterns for public health initiatives.