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v1.0.0
ICD-10 Guide
ICD-10 CodesV56.6

V56.6

Billable

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

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

Code Description

ICD-10 V56.6 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 traffic accident.

Key Diagnostic Point:

The ICD-10 code V56.6 is used to classify injuries sustained by passengers in pick-up trucks or vans involved in collisions with nonmotor vehicles, such as bicycles, pedestrians, or animals, during traffic accidents. This code captures the external cause of morbidity and mortality related to traffic incidents, emphasizing the importance of understanding the context of the injury. Accurate coding is crucial for public health data collection, resource allocation, and injury prevention strategies. In clinical practice, documentation should detail the circumstances of the accident, including the type of nonmotor vehicle involved, the speed of the vehicles, and the nature of the injuries sustained. This code is particularly relevant in emergency medicine and trauma settings, where timely and precise coding can influence treatment decisions and outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the specific type of nonmotor vehicle involved in the collision.
  • Accurately documenting the circumstances of the accident.
  • Differentiating between various types of traffic accidents.
  • Understanding the nuances of external cause coding guidelines.

Audit Risk Factors

  • Inadequate documentation of the accident circumstances.
  • Misclassification of the type of vehicle involved.
  • Failure to capture all relevant external cause codes.
  • Inconsistent coding practices among different coders.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed accounts of the accident, including time, location, and type of nonmotor vehicle.

Common Clinical Scenarios

Patients presenting with injuries from collisions with bicycles or pedestrians.

Billing Considerations

Ensure that the mechanism of injury is clearly documented to support the use of V56.6.

Trauma Surgery

Documentation Requirements

Comprehensive trauma assessments and injury severity scores.

Common Clinical Scenarios

Trauma cases involving multiple injuries from a traffic accident.

Billing Considerations

Consider the potential for co-existing injuries that may require additional coding.

Coding Guidelines

Inclusion Criteria

Use V56.6 When
  • According to the ICD
  • CM Official Guidelines for Coding and Reporting, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to report the external cause code to provide context for the injury and to follow the guidelines for sequencing

Exclusion Criteria

Do NOT use V56.6 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a passenger presents to the ED with injuries from a traffic 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 of injuries, improving data accuracy and facilitating better public health tracking and resource allocation.

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 tracking and resource allocation.

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 tracking and resource allocation.

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 should be documented to support the use of V56.6?

Documentation should include the type of nonmotor vehicle involved, the circumstances of the accident, and the specific injuries sustained by the passenger.