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v1.0.0
ICD-10 Guide
ICD-10 CodesV54.2

V54.2

Billable

Person on outside of 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 V54.2 is a billable code used to indicate a diagnosis of person on outside of pick-up truck or van injured in collision with heavy transport vehicle or bus in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V54.2 is used to classify injuries sustained by individuals who are on the exterior of a pick-up truck or van and are involved in a collision with a heavy transport vehicle or bus during a nontraffic accident. This scenario typically occurs in settings such as loading docks, parking lots, or private property where vehicles are in motion but not on public roadways. The injuries can range from minor abrasions to severe trauma, including fractures, head injuries, or internal injuries, depending on the nature of the collision and the speed of the vehicles involved. Accurate coding of this incident is crucial for understanding the epidemiology of such injuries and for ensuring appropriate treatment and resource allocation in emergency and trauma care settings.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact location of the accident (nontraffic vs. traffic)
  • Differentiating between types of vehicles involved
  • Documenting the circumstances leading to the accident
  • Identifying the specific injuries sustained

Audit Risk Factors

  • Inadequate documentation of the accident's circumstances
  • Misclassification of the accident type (traffic vs. nontraffic)
  • Failure to specify the type of vehicle involved
  • Inaccurate linkage to primary diagnosis codes

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must clearly document the mechanism of injury, location of the accident, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with injuries from nontraffic accidents involving heavy vehicles, such as loading dock incidents.

Billing Considerations

Consider the potential for multiple injuries and ensure all are documented and coded appropriately.

Trauma Surgery

Documentation Requirements

Trauma assessments should include detailed descriptions of the injuries, mechanism of injury, and any surgical interventions performed.

Common Clinical Scenarios

Trauma cases involving severe injuries from collisions with heavy transport vehicles.

Billing Considerations

Ensure that all injuries are captured and that the coding reflects the complexity of the trauma.

Coding Guidelines

Inclusion Criteria

Use V54.2 When
  • Follow the ICD
  • CM coding guidelines for external causes of morbidity, ensuring that the code is used in conjunction with appropriate injury codes
  • Document the circumstances of the accident clearly to support the use of this code

Exclusion Criteria

Do NOT use V54.2 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 nontraffic accident.

Documentation Requirements

Document the mechanism of injury, vital signs, and any treatments provided.

Specialty Considerations

Emergency medicine specialists should ensure that the visit level reflects 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, improving data accuracy and enabling better tracking of injury patterns. This code provides granularity that was not available in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy and enabling better tracking of injury patterns. This code provides granularity that was not available in ICD-9.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy and enabling better tracking of injury patterns. This code provides granularity that was not available in ICD-9.

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 types of injuries are typically associated with this code?

Injuries can range from minor cuts and bruises to severe trauma such as fractures, head injuries, and internal injuries, depending on the circumstances of the collision.