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ICD-10 Guide
ICD-10 CodesV58.7

V58.7

Billable

Person on outside of pick-up truck or van injured in noncollision transport accident in traffic accident

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

Code Description

ICD-10 V58.7 is a billable code used to indicate a diagnosis of person on outside of pick-up truck or van injured in noncollision transport accident in traffic accident.

Key Diagnostic Point:

The ICD-10 code V58.7 is used to classify injuries sustained by individuals who are positioned on the exterior of a pick-up truck or van during a noncollision transport accident within a traffic context. This code is particularly relevant for cases where individuals are injured while riding on the outside of a vehicle, such as in the bed of a pick-up truck or hanging onto the side of a van. These incidents can occur during sudden stops, swerves, or other abrupt maneuvers that do not involve a direct collision with another vehicle. The injuries can range from minor abrasions to severe trauma, including fractures or head injuries, depending on the circumstances of the incident. Accurate coding is essential for understanding the epidemiology of such injuries and for implementing preventive measures in public health initiatives.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact circumstances of the injury can be challenging.
  • Differentiating between collision and noncollision incidents requires careful documentation.
  • Injuries may vary widely in severity, necessitating detailed clinical descriptions.
  • Potential for misclassification if the patient was not clearly identified as being on the outside of the vehicle.

Audit Risk Factors

  • Inadequate documentation of the circumstances leading to the injury.
  • Failure to specify whether the incident was a collision or noncollision event.
  • Misuse of the code for injuries occurring in stationary vehicles.
  • Lack of clarity in the patient's position relative to the vehicle.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must include a detailed account of the incident, including the patient's position on the vehicle and the mechanism of injury.

Common Clinical Scenarios

Patients presenting with lacerations, fractures, or head injuries after falling from the exterior of a vehicle.

Billing Considerations

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

Trauma Surgery

Documentation Requirements

Trauma assessments should include a thorough evaluation of all injuries sustained, with emphasis on the mechanism of injury.

Common Clinical Scenarios

Trauma cases involving multiple injuries from falls or abrupt stops while on the exterior of a vehicle.

Billing Considerations

Documentation must support the severity of injuries to justify surgical interventions.

Coding Guidelines

Inclusion Criteria

Use V58.7 When
  • According to the ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is essential to document the specific circumstances of the injury to support the use of V58

Exclusion Criteria

Do NOT use V58.7 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, level 3

Clinical Scenario

Used for patients presenting with injuries from noncollision transport accidents.

Documentation Requirements

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

Specialty Considerations

Emergency medicine providers should ensure that the mechanism of injury is clearly documented.

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 collection and analysis for public health initiatives aimed at reducing transport-related injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data collection and analysis for public health initiatives aimed at reducing transport-related injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data collection and analysis for public health initiatives aimed at reducing transport-related injuries.

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 types of injuries are covered under code V58.7?

Code V58.7 covers injuries sustained by individuals who are on the outside of a pick-up truck or van during noncollision transport accidents, including falls and injuries from abrupt vehicle movements.