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ICD-10 Guide
ICD-10 CodesChapter 20: External causes of morbidityV59

V59

Billable

Occupant of pick-up truck or van injured in other and unspecified transport accidents

Chapter 20:External causes of morbidity

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

Code Description

ICD-10 V59 is a billable code used to indicate a diagnosis of occupant of pick-up truck or van injured in other and unspecified transport accidents.

Key Diagnostic Point:

The ICD-10 code V59 is utilized to classify injuries sustained by occupants of pick-up trucks or vans involved in transport accidents that do not fall under more specific categories. This code is particularly relevant in cases where the nature of the accident is not clearly defined, such as collisions with stationary objects, rollovers, or accidents involving multiple vehicles where the specifics are not documented. Accurate coding is essential for understanding the epidemiology of transport-related injuries and for the allocation of resources in trauma care. It is important to note that this code does not specify the severity of the injury, which can range from minor to life-threatening. Documentation should include details about the accident, the vehicle type, and the nature of the injuries sustained to ensure proper coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in accident details leading to unspecified coding
  • Variability in documentation quality from different healthcare providers
  • Potential overlap with other transport accident codes
  • Need for precise linkage between diagnosis and external cause codes

Audit Risk Factors

  • Inadequate documentation of accident details
  • Failure to link injuries to the correct external cause code
  • Misclassification of the vehicle type involved in the accident
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, vehicle type, and any relevant patient history to support the use of V59.

Common Clinical Scenarios

Patients presenting with injuries from accidents involving pick-up trucks or vans, where the specifics of the accident are unclear.

Billing Considerations

Emergency physicians should ensure that all relevant details are captured in the medical record to avoid ambiguity in coding.

Trauma Surgery

Documentation Requirements

Trauma surgeons need to document the nature and mechanism of injuries, including vehicle specifics and accident circumstances.

Common Clinical Scenarios

Trauma cases involving occupants of pick-up trucks or vans with multiple injuries from transport accidents.

Billing Considerations

Accurate coding is crucial for trauma registries and for understanding injury patterns in transport accidents.

Coding Guidelines

Inclusion Criteria

Use V59 When
  • According to the ICD
  • CM Official Guidelines for Coding and Reporting, external cause codes should be used in conjunction with the appropriate injury codes
  • It is essential to report the external cause code to provide context for the injury and to ensure comprehensive data collection

Exclusion Criteria

Do NOT use V59 When
No specific exclusions found.

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a patient presents with significant injuries from a transport accident.

Documentation Requirements

Detailed documentation of the patient's condition, treatment provided, and the mechanism of injury.

Specialty Considerations

Emergency medicine specialists should ensure that the visit is coded accurately based on the severity of the injuries.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of transport accidents, but V59 remains a catch-all for unspecified cases. Coders must be diligent in ensuring that documentation supports the use of this code to avoid potential audit issues.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of transport accidents, but V59 remains a catch-all for unspecified cases. Coders must be diligent in ensuring that documentation supports the use of this code to avoid potential audit issues.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of transport accidents, but V59 remains a catch-all for unspecified cases. Coders must be diligent in ensuring that documentation supports the use of this code to avoid potential audit issues.

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 code V59?

Use code V59 when documenting injuries sustained by occupants of pick-up trucks or vans in transport accidents that are not specified. Ensure that the documentation supports the use of this code and that it is linked to the appropriate injury diagnosis.