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ICD-10 Guide
ICD-10 CodesChapter 20: External causes of morbidityV64

V64

Non-billable

Occupant of heavy transport vehicle injured in collision with heavy transport vehicle or bus

Chapter 20:External causes of morbidity

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 V64 is a used to indicate a diagnosis of occupant of heavy transport vehicle injured in collision with heavy transport vehicle or bus.

Key Diagnostic Point:

The ICD-10 Level 1 Category code V64 pertains to occupants of heavy transport vehicles who sustain injuries as a result of a collision with another heavy transport vehicle or a bus. This category encompasses a range of injuries that may occur during such incidents, including but not limited to fractures, contusions, and concussions. The clinical significance of this code lies in its ability to capture the unique circumstances surrounding these types of accidents, which often involve larger vehicles and can lead to more severe injuries compared to standard vehicular collisions. Accurate coding is essential for proper treatment planning and resource allocation in emergency and trauma care settings.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Nature of injuries sustained
  • Variability in vehicle types
  • Potential for multiple injury sites

Audit Risk Factors

  • Inadequate documentation of the incident
  • Misclassification of injury severity
  • Failure to capture all involved parties

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Trauma Surgery

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical and administrative impact of the V64 code category is significant, as it helps healthcare providers track and manage the outcomes of heavy transport vehicle accidents. This data can inform quality measures and improve population health strategies by identifying trends in injury patterns and treatment efficacy. Furthermore, understanding the implications of these collisions can guide policy development aimed at enhancing safety regulations for heavy transport vehicles, ultimately leading to improved public health outcomes.

ICD-9 vs ICD-10

The clinical and administrative impact of the V64 code category is significant, as it helps healthcare providers track and manage the outcomes of heavy transport vehicle accidents. This data can inform quality measures and improve population health strategies by identifying trends in injury patterns and treatment efficacy. Furthermore, understanding the implications of these collisions can guide policy development aimed at enhancing safety regulations for heavy transport vehicles, ultimately leading to improved public health outcomes.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the severity of the injuries and the treatment provided. It is essential to ensure that all relevant CPT codes are accurately linked to the V64 diagnosis to facilitate proper billing and avoid claim denials. Additionally, providers should be aware of payer-specific guidelines that may influence reimbursement rates for trauma-related services.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for V64

Coding & Billing References

  • •
    Official ICD-10 Guidelines for V64

Frequently Asked Questions

What conditions are included in V64?

V64 includes injuries sustained by occupants of heavy transport vehicles, such as fractures, lacerations, and traumatic brain injuries resulting from collisions with other heavy transport vehicles or buses.

When should I use V64 codes?

V64 codes should be used when documenting injuries specifically related to occupants of heavy transport vehicles involved in collisions with other heavy transport vehicles or buses, ensuring that the circumstances of the incident are clearly defined.

What documentation is required for V64?

Documentation should include a detailed account of the collision, the type of vehicles involved, the nature of the injuries sustained, and any relevant medical evaluations or treatments provided.