ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesV43.11

V43.11

Billable

Car passenger injured in collision with sport utility vehicle in nontraffic accident

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

Code Description

ICD-10 V43.11 is a billable code used to indicate a diagnosis of car passenger injured in collision with sport utility vehicle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V43.11 is used to classify injuries sustained by a car passenger involved in a collision with a sport utility vehicle (SUV) during a nontraffic accident. Nontraffic accidents can occur in various settings, such as parking lots, driveways, or private property, where vehicles are in motion but not on public roadways. This code is essential for capturing the external cause of morbidity and mortality related to vehicle collisions outside of traditional traffic scenarios. Accurate coding is crucial for understanding injury patterns, resource allocation, and public health interventions aimed at reducing such incidents. Documentation should include details about the circumstances of the accident, the type of vehicle involved, and the nature of the injuries sustained to ensure precise coding and appropriate treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between traffic and nontraffic accidents
  • Understanding the specific vehicle types involved
  • Documenting the exact circumstances of the accident
  • Identifying the location of the incident accurately

Audit Risk Factors

  • Inadequate documentation of the accident's circumstances
  • Misclassification of the accident type (traffic vs. nontraffic)
  • Failure to specify the type of vehicle involved
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, location of the accident, and any relevant patient history to support the use of V43.11.

Common Clinical Scenarios

Patients presenting with injuries from collisions in parking lots or driveways, such as fractures or contusions.

Billing Considerations

Emergency physicians should ensure that the narrative in the medical record clearly describes the nontraffic nature of the accident.

Trauma Surgery

Documentation Requirements

Trauma documentation should include detailed descriptions of the injuries, the mechanism of injury, and any surgical interventions performed.

Common Clinical Scenarios

Trauma cases involving significant injuries from SUV collisions, requiring surgical intervention or extensive treatment.

Billing Considerations

Trauma surgeons must correlate the injuries with the external cause code to ensure accurate billing and reporting.

Coding Guidelines

Inclusion Criteria

Use V43.11 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to report the external cause code to provide context for the injury and to follow the guidelines for sequencing codes appropriately

Exclusion Criteria

Do NOT use V43.11 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

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

Documentation Requirements

Documentation must include the patient's presenting symptoms, history of the accident, and examination findings.

Specialty Considerations

Emergency medicine specialists should ensure that the visit is coded accurately based on the complexity of the case.

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 of injuries, including nontraffic accidents. This specificity aids in better tracking of injury patterns and resource allocation for prevention efforts.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including nontraffic accidents. This specificity aids in better tracking of injury patterns and resource allocation for prevention efforts.

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 is the difference between traffic and nontraffic accidents?

Traffic accidents occur on public roadways and involve vehicles in motion, while nontraffic accidents occur in private settings, such as parking lots or driveways, where vehicles may be moving but not on public roads.