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ICD-10 Guide
ICD-10 CodesV43.31

V43.31

Billable

Unspecified car occupant injured in collision with sport utility vehicle in nontraffic accident

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

Code Description

ICD-10 V43.31 is a billable code used to indicate a diagnosis of unspecified car occupant injured in collision with sport utility vehicle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V43.31 is used to classify injuries sustained by an unspecified car occupant 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 data on injuries that may not be reported in traditional traffic accident statistics, thus providing a more comprehensive view of vehicle-related injuries. Accurate coding is crucial for understanding the epidemiology of such incidents, which can inform public health initiatives and safety regulations. Documentation should include details about the circumstances of the accident, the type of vehicle involved, and the nature of the injuries sustained to ensure proper coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in the term 'unspecified car occupant' which may lead to misclassification.
  • Variability in documentation quality regarding the specifics of the nontraffic accident.
  • Potential overlap with other external cause codes that may apply.
  • Need for precise details about the accident context to avoid coding errors.

Audit Risk Factors

  • Inadequate documentation of the accident circumstances.
  • Failure to specify the type of injuries sustained.
  • Misuse of unspecified codes leading to potential denials.
  • Inconsistent coding practices across different providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, location of the accident, and any immediate treatment provided.

Common Clinical Scenarios

Patients presenting with injuries from a collision in a parking lot or driveway.

Billing Considerations

Emergency providers should ensure that the details of the incident are captured accurately to support the use of this code.

Trauma Surgery

Documentation Requirements

Trauma surgeons need detailed accounts of the injury mechanism, including vehicle types and injury specifics.

Common Clinical Scenarios

Trauma cases involving multiple injuries from a nontraffic vehicle collision.

Billing Considerations

Accurate coding is critical for trauma registries and research purposes.

Coding Guidelines

Inclusion Criteria

Use V43.31 When
  • According to ICD
  • CM 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 ensure comprehensive data collection

Exclusion Criteria

Do NOT use V43.31 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 collision.

Documentation Requirements

Document the nature of the injuries and the circumstances of the accident.

Specialty Considerations

Emergency medicine providers should ensure that all relevant details are captured for accurate coding.

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 accuracy and facilitating better public health reporting and research.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy and facilitating better public health reporting and research.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy and facilitating better public health reporting and research.

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 I document to support the use of V43.31?

Document the specifics of the accident, including the type of vehicle involved, the location of the incident, and the nature of the injuries sustained. This information is crucial for accurate coding and billing.