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ICD-10 Guide
ICD-10 CodesV58.4

V58.4

Billable

Person boarding or alighting a pick-up truck or van injured in noncollision transport accident

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

Code Description

ICD-10 V58.4 is a billable code used to indicate a diagnosis of person boarding or alighting a pick-up truck or van injured in noncollision transport accident.

Key Diagnostic Point:

The ICD-10 code V58.4 is used to classify injuries sustained by individuals while boarding or alighting from a pick-up truck or van during noncollision transport accidents. This code captures incidents where individuals are injured due to falls, sudden stops, or other non-collision related events while entering or exiting these vehicles. Such injuries can range from minor bruises to severe trauma, depending on the circumstances of the incident. Common scenarios include individuals slipping while stepping into or out of the vehicle, being struck by the vehicle door, or losing balance due to uneven ground. Accurate coding of these incidents is crucial for understanding the epidemiology of transport-related injuries and for implementing preventive measures in public health initiatives.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact mechanism of injury can be challenging.
  • Differentiating between collision and noncollision incidents requires careful documentation.
  • Variability in how injuries are reported by patients can lead to misclassification.
  • Need for precise documentation of the circumstances surrounding the injury.

Audit Risk Factors

  • Inadequate documentation of the circumstances leading to the injury.
  • Misclassification of the injury type (collision vs. noncollision).
  • Failure to capture the specific vehicle type involved.
  • Inconsistent reporting by patients regarding the incident.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, the patient's account of the incident, and any relevant physical examination findings.

Common Clinical Scenarios

Patients presenting with injuries after falling while entering or exiting a vehicle, or being struck by a vehicle door.

Billing Considerations

Emergency physicians should ensure that the documentation clearly indicates that the injury occurred during boarding or alighting to support the use of V58.4.

Trauma Surgery

Documentation Requirements

Trauma surgeons need to document the specifics of the injury, including the type of vehicle and the circumstances of the incident.

Common Clinical Scenarios

Trauma cases involving fractures or soft tissue injuries from falls while boarding or alighting from a vehicle.

Billing Considerations

Accurate coding is essential for trauma registries and for understanding injury patterns in the population.

Coding Guidelines

Inclusion Criteria

Use V58.4 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • 4 should be reported when the injury is specifically due to boarding or alighting from a pick
  • up truck or van, and the circumstances of the incident must be clearly documented

Exclusion Criteria

Do NOT use V58.4 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used when a patient presents with injuries from boarding or alighting a vehicle.

Documentation Requirements

Document the mechanism of injury and any relevant examination findings.

Specialty Considerations

Emergency medicine providers should ensure clarity in documentation to support the use of V58.4.

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 noncollision transport accidents. This specificity aids in better tracking and understanding of injury patterns, which can inform public health initiatives and safety regulations.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including noncollision transport accidents. This specificity aids in better tracking and understanding of injury patterns, which can inform public health initiatives and safety regulations.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including noncollision transport accidents. This specificity aids in better tracking and understanding of injury patterns, which can inform public health initiatives and safety regulations.

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 V58.4?

Use V58.4 when documenting injuries that occur specifically while a person is boarding or alighting from a pick-up truck or van, and ensure that the circumstances of the injury are clearly documented.