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ICD-10 Guide
ICD-10 CodesV43.13

V43.13

Billable

Car passenger injured in collision with pick-up truck in nontraffic accident

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

Code Description

ICD-10 V43.13 is a billable code used to indicate a diagnosis of car passenger injured in collision with pick-up truck in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V43.13 is used to classify injuries sustained by a car passenger involved in a collision with a pick-up truck that occurs outside of a traffic context. This code is particularly relevant in scenarios where the collision does not take place on a public roadway, such as in a parking lot or private property. The injuries may range from minor to severe, depending on the circumstances of the collision, including the speed of the vehicles involved and the nature of the impact. Accurate coding is essential for tracking injury patterns, facilitating appropriate treatment, and ensuring proper reimbursement for healthcare services. Documentation should clearly indicate the circumstances of the accident, the type of vehicle involved, and the specific injuries sustained to support the use of this code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact nature of the accident (nontraffic vs. traffic)
  • Identifying the type of vehicle involved (pick-up truck vs. other vehicles)
  • Documenting the location of the accident accurately
  • Differentiating between various external cause codes for similar scenarios

Audit Risk Factors

  • Inadequate documentation of the accident's circumstances
  • Misclassification of the accident as a traffic incident
  • Failure to specify the type of vehicle involved
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include a detailed account of the accident, including the mechanism of injury, patient presentation, and any imaging or treatment provided.

Common Clinical Scenarios

Patients presenting with lacerations, fractures, or contusions following a nontraffic collision.

Billing Considerations

Ensure that the mechanism of injury is clearly documented to support the use of V43.13.

Trauma Surgery

Documentation Requirements

Trauma notes must detail the patient's injuries, surgical interventions, and the context of the accident.

Common Clinical Scenarios

Patients requiring surgical intervention for severe injuries sustained in a nontraffic collision.

Billing Considerations

Accurate coding is critical for trauma registries and quality reporting.

Coding Guidelines

Inclusion Criteria

Use V43.13 When
  • According to ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code to provide a complete picture of the patient's condition
  • It is essential to document the external cause of injury in the medical record

Exclusion Criteria

Do NOT use V43.13 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 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 the external cause is 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 of injuries, improving data collection and analysis for public health and injury prevention efforts.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data collection and analysis for public health and injury prevention efforts.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data collection and analysis for public health and injury prevention efforts.

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 V43.13?

Use V43.13 when documenting injuries sustained by a car passenger in a collision with a pick-up truck that occurs outside of a traffic context, ensuring that the circumstances of the accident are clearly documented.