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v1.0.0
ICD-10 Guide
ICD-10 CodesV54.1

V54.1

Billable

Passenger in pick-up truck or van injured in collision with heavy transport vehicle or bus in nontraffic accident

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

Code Description

ICD-10 V54.1 is a billable code used to indicate a diagnosis of passenger in pick-up truck or van injured in collision with heavy transport vehicle or bus in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V54.1 is used to classify injuries sustained by passengers in pick-up trucks or vans involved in collisions with heavy transport vehicles or buses during nontraffic accidents. Nontraffic accidents refer to incidents that occur outside the typical roadway environment, such as in parking lots, private property, or during loading/unloading activities. This code is crucial for capturing the external causes of morbidity and mortality related to vehicular accidents, particularly in scenarios where the vehicle is not in motion on public roads. Accurate coding of such incidents aids in understanding the epidemiology of injuries, guiding public health interventions, and informing safety regulations. Documentation should include details about the circumstances of the accident, the type of vehicles involved, and the nature of the injuries sustained to ensure proper coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between traffic and nontraffic accidents
  • Understanding the specific vehicle types involved
  • Accurate documentation of the accident circumstances
  • Potential overlap with other external cause codes

Audit Risk Factors

  • Inadequate documentation of the accident context
  • Misclassification of traffic vs. nontraffic incidents
  • Failure to capture all relevant injuries
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly outline the mechanism of injury, vehicle types, and patient presentation.

Common Clinical Scenarios

Patients presenting with injuries from collisions in parking lots or during vehicle loading/unloading.

Billing Considerations

Ensure that the distinction between traffic and nontraffic accidents is clearly documented to avoid coding errors.

Trauma Surgery

Documentation Requirements

Trauma registries should include detailed descriptions of the incident, injury patterns, and treatment provided.

Common Clinical Scenarios

Trauma cases involving multiple injuries from a collision with a heavy vehicle.

Billing Considerations

Consider the mechanism of injury when coding, as it may affect treatment protocols and outcomes.

Coding Guidelines

Inclusion Criteria

Use V54.1 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the external cause code is reported in conjunction with the appropriate injury codes
  • Document the circumstances of the accident thoroughly to support the use of V54

Exclusion Criteria

Do NOT use V54.1 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 with injuries from a nontraffic accident.

Documentation Requirements

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

Specialty Considerations

Emergency medicine providers should ensure accurate coding to reflect 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 interventions.

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 interventions.

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 interventions.

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 V54.1?

Use V54.1 when coding for injuries sustained by passengers in pick-up trucks or vans involved in collisions with heavy transport vehicles or buses during nontraffic accidents. Ensure that the circumstances of the accident are well-documented.