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ICD-10 Guide
ICD-10 CodesV43.22

V43.22

Billable

Person on outside of car injured in collision with other type car in nontraffic accident

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

Code Description

ICD-10 V43.22 is a billable code used to indicate a diagnosis of person on outside of car injured in collision with other type car in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V43.22 is used to classify injuries sustained by individuals who are outside of a vehicle and are involved in a collision with another type of car during a nontraffic accident. This scenario typically occurs in settings such as parking lots, driveways, or private property where vehicles are in motion but not on public roadways. The injuries can range from minor abrasions and contusions to more severe trauma, including fractures or head injuries, depending on the speed of the vehicles involved and the nature of the impact. Accurate coding of this incident is crucial for understanding the epidemiology of such injuries, facilitating appropriate treatment, and ensuring proper reimbursement for healthcare services rendered. Documentation should clearly indicate the circumstances of the accident, the location, and the extent of injuries to support the use of this specific external cause code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact nature of the accident (nontraffic vs. traffic)
  • Identifying the location of the incident (private property vs. public road)
  • Differentiating between types of vehicles involved
  • Documenting the mechanism of injury accurately

Audit Risk Factors

  • Inadequate documentation of the accident's circumstances
  • Misclassification of the accident type (traffic vs. nontraffic)
  • Failure to specify the location of the incident
  • Inconsistent reporting of injuries related to the accident

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must include a detailed account of the incident, including the mechanism of injury, location, and any witness statements.

Common Clinical Scenarios

Patients presenting with injuries from being struck by a vehicle while standing outside in a parking lot.

Billing Considerations

Ensure that the documentation specifies that the incident occurred in a nontraffic setting to support the use of V43.22.

Trauma Surgery

Documentation Requirements

Trauma documentation should include a thorough assessment of injuries, surgical interventions, and the context of the accident.

Common Clinical Scenarios

Trauma cases involving pedestrians struck by vehicles in nontraffic situations requiring surgical intervention.

Billing Considerations

Accurate coding is essential for trauma registries and for understanding injury patterns in nontraffic accidents.

Coding Guidelines

Inclusion Criteria

Use V43.22 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is important to document the external cause of injury in detail, including the location and circumstances of the event

Exclusion Criteria

Do NOT use V43.22 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

Document the patient's condition, treatment provided, and the mechanism of injury.

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, improving data collection and analysis for public health and safety initiatives.

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 safety initiatives.

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 safety 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

When should I use V43.22?

Use V43.22 when documenting injuries sustained by a person outside of a vehicle involved in a collision with another vehicle in a nontraffic setting, ensuring that the circumstances and location of the accident are clearly documented.