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v1.0.0
ICD-10 Guide
ICD-10 CodesV42.0

V42.0

Billable

Car driver injured in collision with two- or three-wheeled motor vehicle in nontraffic accident

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

Code Description

ICD-10 V42.0 is a billable code used to indicate a diagnosis of car driver injured in collision with two- or three-wheeled motor vehicle in nontraffic accident.

Key Diagnostic Point:

This code is used to classify injuries sustained by a car driver involved in a collision with a two- or three-wheeled motor vehicle, specifically in a nontraffic accident context. Nontraffic accidents may occur in various settings, such as private property or during recreational activities. The clinical context often involves injuries that can range from minor to severe, including fractures, lacerations, and concussions. Accurate coding is crucial for understanding the epidemiology of such injuries and for resource allocation in trauma care. Documentation should clearly indicate the circumstances of the accident, including the environment and any contributing factors, to ensure proper coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the nature of the accident (nontraffic vs. traffic)
  • Differentiating between types of vehicles involved
  • Documenting the specific circumstances leading to the collision
  • Understanding the implications of nontraffic versus traffic-related injuries

Audit Risk Factors

  • Inadequate documentation of the accident's circumstances
  • Misclassification of traffic vs. nontraffic accidents
  • Failure to specify the type of two- or three-wheeled vehicle involved
  • Inconsistent linkage with primary diagnosis codes

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must detail the mechanism of injury, including the type of vehicles involved and the location of the accident.

Common Clinical Scenarios

Patients presenting with injuries from collisions in parking lots or private driveways.

Billing Considerations

Ensure that the documentation specifies that the accident was nontraffic to avoid misclassification.

Trauma Surgery

Documentation Requirements

Trauma notes should include a thorough description of the injury, mechanism of injury, and any relevant imaging or surgical findings.

Common Clinical Scenarios

Trauma cases involving significant injuries from collisions with motorcycles or scooters.

Billing Considerations

Accurate coding is essential for trauma registries and research purposes.

Coding Guidelines

Inclusion Criteria

Use V42.0 When
  • Follow the ICD
  • CM Official Guidelines for Coding and Reporting, particularly those related to external causes of morbidity
  • Ensure that the external cause code is sequenced correctly in relation to the primary diagnosis code

Exclusion Criteria

Do NOT use V42.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used for emergency visits related to injuries from collisions.

Documentation Requirements

Detailed documentation of the visit, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine specialists should ensure that the visit is appropriately documented to support the level of service billed.

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, improving data accuracy for injury surveillance and public health initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy for injury surveillance and public health initiatives.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy for injury surveillance and public health initiatives.

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 is the difference between traffic and nontraffic accidents?

Traffic accidents involve vehicles on public roadways, while nontraffic accidents occur in private settings or during non-vehicular activities.