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ICD-10 Guide
ICD-10 CodesV59.69

V59.69

Billable

Unspecified occupant of pick-up truck or van injured in collision with other motor vehicles in traffic accident

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

Code Description

ICD-10 V59.69 is a billable code used to indicate a diagnosis of unspecified occupant of pick-up truck or van injured in collision with other motor vehicles in traffic accident.

Key Diagnostic Point:

The ICD-10 code V59.69 is used to classify injuries sustained by unspecified occupants of pick-up trucks or vans involved in collisions with other motor vehicles during traffic accidents. This code is essential for capturing data related to external causes of morbidity and mortality, particularly in the context of vehicular accidents. It encompasses a wide range of potential injuries, from minor to severe, and is applicable when the specific details of the occupant's role or the nature of the injuries are not documented. Accurate coding is crucial for public health data collection, resource allocation, and understanding the epidemiology of traffic-related injuries. This code is often used in emergency departments, trauma centers, and outpatient settings where initial assessments of injuries are made. Proper documentation is vital to ensure that the code reflects the circumstances of the incident and the nature of the injuries sustained.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in documentation regarding the occupant's role (driver vs. passenger)
  • Variability in injury severity and types that may not be specified
  • Potential for misclassification if additional details are not provided
  • Need for correlation with other codes for comprehensive injury reporting

Audit Risk Factors

  • Inadequate documentation of the incident details
  • Failure to specify the nature of injuries sustained
  • Inconsistent coding practices among different coders
  • Misalignment with clinical documentation in the medical record

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, the patient's role in the vehicle, and any immediate treatment provided.

Common Clinical Scenarios

Patients presenting with trauma after a collision, requiring assessment of injuries and potential interventions.

Billing Considerations

Ensure that the documentation clearly states the circumstances of the accident to support the use of V59.69.

Trauma Surgery

Documentation Requirements

Detailed trauma assessments, including injury patterns and surgical interventions, must be documented.

Common Clinical Scenarios

Trauma patients requiring surgical intervention due to injuries sustained in a vehicular collision.

Billing Considerations

Accurate coding requires a thorough understanding of the injuries and their relation to the accident circumstances.

Coding Guidelines

Inclusion Criteria

Use V59.69 When
  • According to ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is essential to report the external cause code in the secondary position to the primary diagnosis code reflecting the injury sustained

Exclusion Criteria

Do NOT use V59.69 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used for patients presenting with injuries from a traffic accident.

Documentation Requirements

Document the reason for the visit, examination findings, and treatment provided.

Specialty Considerations

Emergency medicine specialists should ensure that the visit correlates with the external cause code.

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, improving data collection and analysis for traffic-related injuries. V59.69 provides a mechanism to capture injuries from pick-up trucks and vans, which may have been underreported in previous coding systems.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes, improving data collection and analysis for traffic-related injuries. V59.69 provides a mechanism to capture injuries from pick-up trucks and vans, which may have been underreported in previous coding systems.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of external causes, improving data collection and analysis for traffic-related injuries. V59.69 provides a mechanism to capture injuries from pick-up trucks and vans, which may have been underreported in previous coding systems.

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 V59.69?

Use V59.69 when documenting injuries sustained by an unspecified occupant of a pick-up truck or van involved in a collision with other motor vehicles, especially when specific details about the occupant's role or injuries are not available.