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v1.0.0
ICD-10 Guide
ICD-10 CodesV42.5

V42.5

Billable

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

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

Code Description

ICD-10 V42.5 is a billable code used to indicate a diagnosis of car driver injured in collision with two- or three-wheeled motor vehicle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V42.5 is used to classify injuries sustained by a car driver involved in a traffic accident with a two- or three-wheeled motor vehicle, such as motorcycles or scooters. This code is crucial for capturing the external cause of morbidity and mortality related to traffic accidents, which are significant contributors to public health concerns. Accurate coding of such incidents helps in understanding the epidemiology of traffic-related injuries, guiding preventive measures, and allocating resources for trauma care. Documentation should include details about the nature of the collision, the circumstances leading to the accident, and any contributing factors such as weather conditions or road conditions. This code is essential for trauma registries and public health data collection, as it aids in identifying trends and developing strategies to reduce traffic-related injuries.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident circumstances
  • Differentiation between types of vehicles involved
  • Potential for multiple external cause codes to be applicable
  • Variability in state reporting requirements

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Misclassification of vehicle types involved
  • Failure to capture multiple external causes
  • Inconsistent coding practices across providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, vehicle types, and any contributing factors such as speed or road conditions.

Common Clinical Scenarios

Patients presenting with trauma from motorcycle accidents, including fractures, lacerations, and head injuries.

Billing Considerations

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

Trauma Surgery

Documentation Requirements

Trauma surgeons need to document the specifics of the injury, including the type of collision and any associated injuries.

Common Clinical Scenarios

Trauma cases involving severe injuries from motorcycle collisions requiring surgical intervention.

Billing Considerations

Trauma documentation should include a thorough assessment of all injuries sustained and their mechanisms.

Coding Guidelines

Inclusion Criteria

Use V42.5 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the corresponding injury codes
  • It is essential to report the external cause code to provide context for the injury and to follow the guidelines for sequencing these codes appropriately

Exclusion Criteria

Do NOT use V42.5 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a patient presents to the emergency department with injuries from a traffic accident.

Documentation Requirements

Documentation must support the level of service, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine specialists should ensure that all relevant details of the accident and injuries are documented.

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 collection and analysis for traffic-related injuries. V42.5 provides a clear classification for injuries sustained in specific types of accidents, enhancing the ability to track and address public health issues.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data collection and analysis for traffic-related injuries. V42.5 provides a clear classification for injuries sustained in specific types of accidents, enhancing the ability to track and address public health issues.

Reimbursement & Billing Impact

reimbursement and compliance.

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 should be documented to support the use of V42.5?

Documentation should include details about the type of vehicles involved, the circumstances of the accident, any contributing factors, and the nature of the injuries sustained.