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ICD-10 Guide
ICD-10 CodesChapter 20: External causes of morbidityV56

V56

Non-billable

Occupant of pick-up truck or van injured in collision with other nonmotor vehicle

Chapter 20:External causes of morbidity

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 V56 is a used to indicate a diagnosis of occupant of pick-up truck or van injured in collision with other nonmotor vehicle.

Key Diagnostic Point:

The ICD-10 Level 1 Category code V56 pertains to occupants of pick-up trucks or vans who have sustained injuries as a result of a collision with nonmotor vehicles. This category encompasses a variety of conditions that may arise from such incidents, including but not limited to fractures, soft tissue injuries, concussions, and other trauma-related injuries. The clinical significance of this code lies in its ability to capture the unique circumstances surrounding these types of accidents, which can differ significantly from collisions involving motor vehicles. Proper coding is essential for accurate data collection, treatment planning, and insurance reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of injury type
  • Nature of collision
  • Documentation requirements

Audit Risk Factors

  • Inadequate documentation
  • Misclassification of injury type
  • Failure to report all injuries

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Orthopedics

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical and administrative impact of the V56 code category is significant, as it helps to identify trends in injuries related to nonmotor vehicle collisions. This data can inform public health initiatives aimed at improving road safety and reducing injury rates. Additionally, accurate coding can enhance quality measures by providing insights into the effectiveness of treatments and interventions for these specific injury types, ultimately contributing to better population health outcomes.

ICD-9 vs ICD-10

The clinical and administrative impact of the V56 code category is significant, as it helps to identify trends in injuries related to nonmotor vehicle collisions. This data can inform public health initiatives aimed at improving road safety and reducing injury rates. Additionally, accurate coding can enhance quality measures by providing insights into the effectiveness of treatments and interventions for these specific injury types, ultimately contributing to better population health outcomes.

Reimbursement & Billing Impact

Reimbursement may vary based on the severity of the injuries and the complexity of the treatment provided, so it is essential to align billing practices with the clinical documentation to avoid denials.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for V56

Coding & Billing References

  • •
    Official ICD-10 Guidelines for V56

Frequently Asked Questions

What conditions are included in V56?

V56 includes conditions resulting from injuries sustained by occupants of pick-up trucks or vans in collisions with nonmotor vehicles, such as pedestrians, bicycles, or animals. This may cover a range of injuries from minor bruises to severe fractures and traumatic brain injuries.

When should I use V56 codes?

V56 codes should be used when documenting injuries specifically related to occupants of pick-up trucks or vans involved in collisions with nonmotor vehicles. It is important to ensure that the circumstances of the accident are clearly documented to justify the use of this code.

What documentation is required for V56?

Documentation for V56 should include a detailed account of the accident, the type of vehicle involved, the nature of the injuries sustained, and any relevant medical evaluations or treatments provided. This information is crucial for accurate coding and reimbursement.