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ICD-10 Guide
ICD-10 CodesV59.40

V59.40

Billable

Driver of pick-up truck or van injured in collision with unspecified motor vehicles in traffic accident

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

Code Description

ICD-10 V59.40 is a billable code used to indicate a diagnosis of driver of pick-up truck or van injured in collision with unspecified motor vehicles in traffic accident.

Key Diagnostic Point:

The ICD-10 code V59.40 is used to classify injuries sustained by the driver of a pick-up truck or van involved in a collision with unspecified motor vehicles during a traffic accident. This code is essential for capturing the external cause of morbidity and mortality related to vehicular accidents, which are a significant public health concern. Accidents involving pick-up trucks and vans can lead to various injuries, ranging from minor to severe, including fractures, lacerations, and traumatic brain injuries. Accurate coding of such incidents is crucial for epidemiological studies, resource allocation, and understanding the impact of traffic accidents on public health. This code is particularly relevant in emergency medicine and trauma surgery, where timely and precise documentation of the circumstances surrounding an injury can influence treatment decisions and outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the specific type of vehicle involved in the accident.
  • Differentiating between various external cause codes for similar injuries.
  • Understanding the context of the accident (e.g., urban vs. rural setting).
  • Documenting the circumstances leading to the collision accurately.

Audit Risk Factors

  • Inaccurate documentation of the vehicle type involved.
  • Failure to specify the circumstances of the accident.
  • Misclassification of the external cause due to lack of detail.
  • Inconsistent coding practices among different healthcare providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Complete documentation of the accident details, including time, location, and circumstances leading to the injury.

Common Clinical Scenarios

Patients presenting with injuries from traffic accidents, requiring immediate assessment and intervention.

Billing Considerations

Ensure that all relevant details are captured in the medical record to support the use of external cause codes.

Trauma Surgery

Documentation Requirements

Thorough documentation of the mechanism of injury and any associated injuries sustained during the accident.

Common Clinical Scenarios

Trauma patients admitted following a vehicular collision, often requiring surgical intervention.

Billing Considerations

Accurate coding is critical for trauma registries and quality improvement initiatives.

Coding Guidelines

Inclusion Criteria

Use V59.40 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the external cause code is sequenced correctly with the primary diagnosis code
  • The external cause code should be reported in conjunction with the injury codes to provide a complete picture of the patient's condition

Exclusion Criteria

Do NOT use V59.40 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used for patients presenting with injuries from traffic accidents.

Documentation Requirements

Document the nature of the injury and the circumstances of the accident.

Specialty Considerations

Emergency medicine providers should ensure accurate coding to reflect the severity of the visit.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, improving data accuracy and facilitating better public health tracking of traffic-related injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, improving data accuracy and facilitating better public health tracking of traffic-related injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, improving data accuracy and facilitating better public health tracking of traffic-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

When should I use V59.40?

Use V59.40 when coding for injuries sustained by the driver of a pick-up truck or van involved in a collision with unspecified motor vehicles during a traffic accident.