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v1.0.0
ICD-10 Guide
ICD-10 CodesV52.4

V52.4

Billable

Person boarding or alighting a pick-up truck or van injured in collision with two- or three-wheeled motor vehicle

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

Code Description

ICD-10 V52.4 is a billable code used to indicate a diagnosis of person boarding or alighting a pick-up truck or van injured in collision with two- or three-wheeled motor vehicle.

Key Diagnostic Point:

This code is used to classify injuries sustained by individuals who are boarding or alighting from a pick-up truck or van and are subsequently involved in a collision with a two- or three-wheeled motor vehicle, such as a motorcycle or scooter. The injuries can range from minor abrasions to severe trauma, depending on the speed of the vehicles involved and the circumstances of the accident. This code is particularly relevant in urban areas where traffic congestion and mixed vehicle types are common. Accurate coding is essential for understanding the epidemiology of such incidents, which can inform public health initiatives aimed at reducing injuries and fatalities associated with motor vehicle accidents. Documentation should include details about the circumstances of the injury, the type of vehicles involved, and the location of the incident to ensure proper coding and analysis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the incident circumstances
  • Differentiation between types of vehicles involved
  • Potential for multiple injuries requiring additional codes
  • Variability in injury severity and outcomes

Audit Risk Factors

  • Inadequate documentation of the incident
  • Misclassification of vehicle types involved
  • Failure to capture all injuries sustained
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly outline the mechanism of injury, including the type of vehicles involved and the patient's actions at the time of the incident.

Common Clinical Scenarios

Patients presenting with trauma after being struck while boarding or alighting from a vehicle, often requiring immediate assessment and intervention.

Billing Considerations

Consideration of the patient's overall condition and any pre-existing injuries that may complicate treatment.

Trauma Surgery

Documentation Requirements

Detailed trauma assessments should include descriptions of the injury mechanism, anatomical locations of injuries, and any surgical interventions performed.

Common Clinical Scenarios

Trauma cases involving significant injuries from collisions, requiring surgical evaluation and potential operative management.

Billing Considerations

Accurate coding is crucial for trauma registries and quality improvement initiatives.

Coding Guidelines

Inclusion Criteria

Use V52.4 When
  • According to the ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is important to sequence the external cause code correctly, typically following the injury code
  • Documentation must support the use of this code, including details about the incident and the nature of the injuries

Exclusion Criteria

Do NOT use V52.4 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 collision.

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 all relevant details of the incident are captured.

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 enabling better tracking of injury patterns. This specificity aids in public health initiatives aimed at reducing injuries related to motor vehicle collisions.

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 enabling better tracking of injury patterns. This specificity aids in public health initiatives aimed at reducing injuries related to motor vehicle collisions.

Reimbursement & Billing Impact

reimbursement and quality reporting.

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 should be documented to support the use of code V52.4?

Documentation should include the specific circumstances of the injury, including the type of vehicles involved, the actions of the patient at the time of the incident, and any injuries sustained.