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v1.0.0
ICD-10 Guide
ICD-10 CodesV52.9

V52.9

Billable

Unspecified occupant 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 V52.9 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 traffic accident.

Key Diagnostic Point:

The ICD-10 code V52.9 is used to classify injuries sustained by an unspecified occupant of a pick-up truck or van involved in a collision with a two- or three-wheeled motor vehicle during a traffic accident. This code is particularly relevant in scenarios where the specific details of the occupant's role (e.g., driver, passenger) are not documented. The code captures the external cause of morbidity and mortality associated with traffic accidents, which are a leading cause of injury-related deaths globally. Accurate coding is essential for understanding the epidemiology of traffic-related injuries, guiding public health interventions, and ensuring appropriate resource allocation for trauma care. This code is often used in emergency departments, trauma centers, and outpatient settings to document the circumstances surrounding the injury, which can influence treatment decisions and outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in occupant status (driver vs. passenger)
  • Variability in documentation quality
  • Need for precise details about the accident
  • Potential for misclassification of injury severity

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Failure to specify the occupant's role
  • Misuse of unspecified codes leading to potential denials
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, occupant status, and any relevant details about the collision.

Common Clinical Scenarios

Patients presenting with injuries from motorcycle accidents, where the specifics of the occupant's role are unclear.

Billing Considerations

Ensure that all relevant details are captured in the medical record to support the use of this code.

Trauma Surgery

Documentation Requirements

Trauma documentation should include a detailed account of the injury mechanism, occupant demographics, and injury severity.

Common Clinical Scenarios

Trauma cases involving multiple vehicle types, where the occupant's role may not be clearly defined.

Billing Considerations

Accurate coding is critical for trauma registries and research purposes.

Coding Guidelines

Inclusion Criteria

Use V52.9 When
  • According to ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is essential to document the circumstances of the injury as thoroughly as possible to support the use of this code

Exclusion Criteria

Do NOT use V52.9 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used when treating an occupant injured in a traffic accident.

Documentation Requirements

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

Specialty Considerations

Emergency medicine providers should ensure that the external cause code is linked to the visit.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, improving data collection and analysis for traffic-related incidents. However, the complexity of some codes, including V52.9, requires careful documentation to avoid misclassification.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, improving data collection and analysis for traffic-related incidents. However, the complexity of some codes, including V52.9, requires careful documentation to avoid misclassification.

Reimbursement & Billing Impact

reimbursement and compliance.

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 V52.9?

Use V52.9 when documenting injuries to an unspecified occupant of a pick-up truck or van involved in a collision with a two- or three-wheeled motor vehicle, particularly when the specifics of the occupant's role are not documented.