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ICD-10 Guide
ICD-10 CodesV43.5

V43.5

Billable

Car driver injured in collision with car, pick-up truck or van in traffic accident

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

Code Description

ICD-10 V43.5 is a billable code used to indicate a diagnosis of car driver injured in collision with car, pick-up truck or van in traffic accident.

Key Diagnostic Point:

The ICD-10 code V43.5 is used to classify injuries sustained by a car driver involved in a traffic accident specifically with another car, pick-up truck, or van. This code is essential for capturing the external cause of morbidity and mortality related to vehicular collisions, which are a significant public health concern. Accurate coding of such incidents aids in understanding the epidemiology of traffic-related injuries, facilitating targeted interventions and resource allocation. Documentation should include details about the circumstances of the accident, the type of vehicles involved, and the nature of the injuries sustained. This code is often used in emergency departments, trauma centers, and outpatient settings where initial assessments and follow-up care for such injuries are provided.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident details.
  • Differentiation between types of vehicles involved.
  • Potential for multiple injuries requiring additional codes.
  • Variability in state reporting requirements for traffic accidents.

Audit Risk Factors

  • Inadequate documentation of the accident circumstances.
  • Misclassification of the type of vehicle involved.
  • Failure to capture all injuries sustained in the accident.
  • Inconsistent coding practices across different healthcare providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, vehicle types, and patient condition upon arrival.

Common Clinical Scenarios

Patients presenting with trauma from a collision, requiring immediate assessment and intervention.

Billing Considerations

Ensure that all injuries are coded, and consider the need for follow-up care documentation.

Trauma Surgery

Documentation Requirements

Detailed operative reports and injury assessments are necessary to capture all injuries accurately.

Common Clinical Scenarios

Patients requiring surgical intervention due to severe injuries from a traffic accident.

Billing Considerations

Consider the potential for multiple trauma codes and the need for comprehensive documentation of all injuries.

Coding Guidelines

Inclusion Criteria

Use V43.5 When
  • Follow the ICD
  • CM Official Guidelines for Coding and Reporting, which emphasize the importance of specificity and accuracy in coding external causes
  • Ensure that the code reflects the circumstances of the injury accurately

Exclusion Criteria

Do NOT use V43.5 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used for patients presenting with serious injuries from a traffic accident.

Documentation Requirements

Document the nature of the injuries and the treatment provided.

Specialty Considerations

Emergency medicine providers should ensure thorough documentation to support the level of service billed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of traffic-related injuries, improving data accuracy and facilitating better public health responses to traffic safety issues.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of traffic-related injuries, improving data accuracy and facilitating better public health responses to traffic safety issues.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of traffic-related injuries, improving data accuracy and facilitating better public health responses to traffic safety issues.

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 documentation is required to support the use of V43.5?

Documentation should include details about the accident, the type of vehicles involved, the mechanism of injury, and any injuries sustained by the patient.