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v1.0.0
ICD-10 Guide
ICD-10 CodesV57.4

V57.4

Billable

Person boarding or alighting a pick-up truck or van injured in collision with fixed or stationary object

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

Code Description

ICD-10 V57.4 is a billable code used to indicate a diagnosis of person boarding or alighting a pick-up truck or van injured in collision with fixed or stationary object.

Key Diagnostic Point:

The ICD-10 code V57.4 is used to classify injuries sustained by individuals who are boarding or alighting from a pick-up truck or van and are subsequently involved in a collision with a fixed or stationary object. This scenario often occurs in urban environments where vehicles are parked close to sidewalks or in areas with limited space. The injuries can range from minor abrasions to severe trauma, depending on the speed of the vehicle and the nature of the collision. Accurate coding of this incident is crucial for understanding the external causes of morbidity and mortality, particularly in assessing the risks associated with vehicle-related injuries. Documentation should include details about the circumstances of the incident, the type of vehicle involved, and the nature of the injuries sustained. This code is particularly relevant for emergency departments and trauma centers where such injuries are frequently treated.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the incident circumstances
  • Differentiation between boarding and alighting injuries
  • Potential for multiple external cause codes to be applicable
  • Variability in injury severity and associated codes

Audit Risk Factors

  • Inadequate documentation of the incident details
  • Misclassification of the type of vehicle involved
  • Failure to capture the mechanism of injury accurately
  • Inconsistent use of external cause codes in similar cases

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, including the patient's position relative to the vehicle and the fixed object.

Common Clinical Scenarios

Patients presenting with lacerations, fractures, or contusions after being struck while boarding or alighting from a vehicle.

Billing Considerations

Consideration of other potential injuries that may not be immediately apparent, such as internal injuries.

Trauma Surgery

Documentation Requirements

Trauma documentation should include detailed descriptions of the injury patterns and any surgical interventions performed.

Common Clinical Scenarios

Trauma cases involving significant blunt force trauma from collisions with fixed objects.

Billing Considerations

Assessment of the need for surgical intervention based on the severity of injuries.

Coding Guidelines

Inclusion Criteria

Use V57.4 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to capture the full context of the injury, including the location and circumstances surrounding the event

Exclusion Criteria

Do NOT use V57.4 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, level 3

Clinical Scenario

Used when a patient presents to the emergency department with injuries from a collision.

Documentation Requirements

Documentation must support the level of service provided, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine specialists should ensure that the visit is appropriately coded based on 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 of injuries, including those related to boarding and alighting from vehicles. This specificity aids in better tracking and analysis of injury patterns.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those related to boarding and alighting from vehicles. This specificity aids in better tracking and analysis of injury patterns.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those related to boarding and alighting from vehicles. This specificity aids in better tracking and analysis of injury patterns.

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 V57.4?

Documentation should include the specific circumstances of the injury, including whether the patient was boarding or alighting from the vehicle, the type of vehicle involved, and details about the fixed object that caused the injury.