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ICD-10 Guide
ICD-10 CodesV54.3

V54.3

Billable

Unspecified occupant 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 V54.3 is a billable code used to indicate a diagnosis of unspecified occupant 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 V54.3 is used to classify injuries sustained by occupants of 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 of the typical roadway environment, such as in parking lots, private property, or during loading/unloading operations. This code captures the external cause of morbidity and mortality related to such collisions, which can result in a range of injuries from minor to severe, including fractures, concussions, and soft tissue injuries. Accurate coding is essential for understanding the epidemiology of these injuries, guiding public health interventions, and ensuring appropriate resource allocation for trauma care. Documentation must clearly indicate the circumstances of the accident, the type of vehicle involved, and the nature of the injuries sustained to support the use of this specific code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in defining 'nontraffic' accidents
  • Variability in documentation quality regarding accident details
  • Need for precise identification of vehicle types involved
  • Potential overlap with other external cause codes

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Misclassification of traffic vs. nontraffic accidents
  • Failure to specify the type of vehicle involved
  • Inconsistent coding practices among coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must include details of the accident, mechanism of injury, and initial assessment findings.

Common Clinical Scenarios

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

Billing Considerations

Ensure that the mechanism of injury is clearly documented to support the use of V54.3.

Trauma Surgery

Documentation Requirements

Operative reports and trauma assessments should detail the nature of injuries and the circumstances of the accident.

Common Clinical Scenarios

Trauma cases involving occupants of pick-up trucks or vans with significant injuries from collisions.

Billing Considerations

Accurate coding is critical for trauma registry data and quality improvement initiatives.

Coding Guidelines

Inclusion Criteria

Use V54.3 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the external cause code is sequenced appropriately with the injury codes
  • Documentation must support the use of V54
  • 3, including details about the accident and the vehicles involved

Exclusion Criteria

Do NOT use V54.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used for patients presenting with significant 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 thorough documentation to support the visit level.

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 related to nontraffic accidents.

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 related to nontraffic accidents.

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 related to nontraffic 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 types of accidents does V54.3 cover?

V54.3 covers injuries sustained by occupants of pick-up trucks or vans involved in collisions with heavy transport vehicles or buses during nontraffic accidents, such as those occurring in parking lots or private property.