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v1.0.0
ICD-10 Guide
ICD-10 CodesV52.5

V52.5

Billable

Driver of pick-up truck or van injured in collision with two- or three-wheeled motor vehicle in traffic accident

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

Code Description

ICD-10 V52.5 is a billable code used to indicate a diagnosis of driver of pick-up truck or van injured in collision with two- or three-wheeled motor vehicle in traffic accident.

Key Diagnostic Point:

This external cause code is used to classify injuries sustained by drivers of pick-up trucks or vans involved in collisions with two- or three-wheeled motor vehicles, such as motorcycles or scooters, during traffic accidents. The code captures the specific circumstances of the accident, which is crucial for understanding the nature of injuries and for public health data collection. Accidents involving larger vehicles and smaller two- or three-wheeled vehicles often result in significant injuries due to the disparity in size and weight. Documentation should include details about the accident, such as the location, time, and contributing factors (e.g., weather conditions, road conditions). Accurate coding is essential for injury surveillance, resource allocation, and prevention strategies in traffic safety initiatives.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident circumstances.
  • Differentiation between types of vehicles involved.
  • Potential for multiple external cause codes to be applicable.
  • Variability in injury severity based on vehicle type.

Audit Risk Factors

  • Inadequate documentation of the accident details.
  • Misclassification of vehicle types involved.
  • Failure to capture all relevant external cause codes.
  • Inconsistent coding practices across different providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, vehicle types, and any contributing factors to the accident.

Common Clinical Scenarios

Patients presenting with trauma from motorcycle accidents, including fractures, lacerations, and head injuries.

Billing Considerations

Consideration of the patient's history and potential pre-existing conditions that may affect recovery.

Trauma Surgery

Documentation Requirements

Detailed trauma assessments, including injury patterns and surgical interventions performed.

Common Clinical Scenarios

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

Billing Considerations

Accurate coding of all injuries sustained during the accident is critical for surgical planning and outcomes assessment.

Coding Guidelines

Inclusion Criteria

Use V52.5 When
  • Follow the ICD
  • CM Official Guidelines for Coding and Reporting, particularly Section I
  • 19 for external cause codes
  • Ensure that the external cause code is sequenced appropriately with the injury codes

Exclusion Criteria

Do NOT use V52.5 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a patient presents to the emergency department with injuries from a traffic accident.

Documentation Requirements

Document the nature of the injuries, the mechanism of injury, and any treatments provided.

Specialty Considerations

Emergency medicine providers should ensure thorough documentation to support the level of service billed.

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, improving data collection and analysis for traffic-related injuries. This specificity aids in public health initiatives aimed at reducing traffic accidents.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data collection and analysis for traffic-related injuries. This specificity aids in public health initiatives aimed at reducing traffic accidents.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data collection and analysis for traffic-related injuries. This specificity aids in public health initiatives aimed at reducing traffic accidents.

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 V52.5?

Documentation should include the type of vehicles involved, the circumstances of the accident, the location and time of the incident, and any contributing factors such as weather or road conditions.