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ICD-10 Guide
ICD-10 CodesV56.1

V56.1

Billable

Passenger in pick-up truck or van injured in collision with other nonmotor vehicle in nontraffic accident

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

Code Description

ICD-10 V56.1 is a billable code used to indicate a diagnosis of passenger in pick-up truck or van injured in collision with other nonmotor vehicle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V56.1 is used to classify injuries sustained by passengers in pick-up trucks or vans involved in collisions with nonmotor vehicles during nontraffic accidents. Nontraffic accidents can occur in various settings, such as parking lots, private property, or during recreational activities. This code is essential for capturing the external cause of morbidity and mortality related to such incidents, which may include injuries from collisions with bicycles, pedestrians, or other stationary objects. Accurate coding of V56.1 helps in understanding the epidemiology of injuries, guiding public health interventions, and improving safety measures for passengers in these vehicles. Documentation should include details about the nature of the accident, the type of nonmotor vehicle involved, and the specific injuries sustained by the passenger to ensure proper coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between traffic and nontraffic accidents
  • Identifying the specific type of nonmotor vehicle involved
  • Documenting the circumstances surrounding the accident
  • Understanding the nuances of passenger versus driver injuries

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Misclassification of traffic versus nontraffic accidents
  • Failure to specify the type of nonmotor vehicle involved
  • Linking the code to unrelated injuries

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include a detailed account of the accident, including the mechanism of injury and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with lacerations, fractures, or contusions after being a passenger in a pick-up truck involved in a collision with a bicycle.

Billing Considerations

Ensure that the mechanism of injury is clearly documented to support the use of V56.1.

Trauma Surgery

Documentation Requirements

Trauma registries should capture the specifics of the incident, including the type of nonmotor vehicle and the injuries sustained.

Common Clinical Scenarios

Trauma cases involving multiple injuries from a collision with a pedestrian while the patient was a passenger.

Billing Considerations

Accurate coding is critical for trauma outcomes analysis and resource allocation.

Coding Guidelines

Inclusion Criteria

Use V56.1 When
  • Follow the ICD
  • CM coding guidelines for external causes of morbidity, ensuring that the code is used in conjunction with the appropriate injury codes
  • Document the circumstances of the accident thoroughly

Exclusion Criteria

Do NOT use V56.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used when a passenger presents to the emergency department after a nontraffic accident.

Documentation Requirements

Document the nature of the accident and injuries sustained.

Specialty Considerations

Emergency medicine specialists 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 granular coding of external causes, improving data accuracy and facilitating better public health tracking of nonmotor vehicle accidents.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more granular coding of external causes, improving data accuracy and facilitating better public health tracking of nonmotor vehicle accidents.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more granular coding of external causes, improving data accuracy and facilitating better public health tracking of nonmotor vehicle 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

When should I use V56.1?

Use V56.1 when documenting injuries sustained by a passenger in a pick-up truck or van involved in a collision with a nonmotor vehicle during a nontraffic accident. Ensure that the specifics of the accident are well-documented.