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ICD-10 Guide
ICD-10 CodesV43.51

V43.51

Billable

Car driver injured in collision with sport utility vehicle in traffic accident

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

Code Description

ICD-10 V43.51 is a billable code used to indicate a diagnosis of car driver injured in collision with sport utility vehicle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V43.51 is used to classify injuries sustained by a car driver involved in a collision with a sport utility vehicle (SUV) during a traffic accident. This code is part of the external cause of morbidity and mortality codes, which provide critical information about the circumstances surrounding injuries. In this case, the code specifies the type of vehicle involved in the accident, which can be important for understanding the dynamics of the crash and the potential severity of injuries. Accurate coding of such incidents is essential for public health data analysis, insurance claims, and resource allocation for trauma care. Documentation should include details about the accident, such as the location, time, and contributing factors, to ensure comprehensive coding and facilitate appropriate treatment and follow-up care.

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 laws regarding reporting traffic accidents.

Audit Risk Factors

  • Inadequate documentation of the accident circumstances.
  • Failure to specify the type of vehicle involved.
  • Incorrect linkage of injuries to the external cause code.
  • Omission of additional codes for co-existing injuries.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include details of the accident, mechanism of injury, and initial assessment findings.

Common Clinical Scenarios

Patients presenting with trauma from a traffic accident, including fractures, lacerations, and concussions.

Billing Considerations

Ensure that all injuries are documented and linked to the external cause code to avoid underreporting of injuries.

Trauma Surgery

Documentation Requirements

Operative reports and trauma assessments must detail the mechanism of injury and any surgical interventions performed.

Common Clinical Scenarios

Patients requiring surgical intervention due to severe injuries from a collision, such as internal bleeding or organ damage.

Billing Considerations

Accurate coding is crucial for trauma registries and quality improvement initiatives.

Coding Guidelines

Inclusion Criteria

Use V43.51 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • The external cause code should be reported in the secondary position, following the injury diagnosis code
  • It is important to capture the full context of the injury, including the location and activity at the time of the accident

Exclusion Criteria

Do NOT use V43.51 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used for patients presenting with injuries from a traffic accident.

Documentation Requirements

Documentation must support the level of service provided, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine providers should ensure that all relevant details of the accident are captured.

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, improving data accuracy for traffic-related injuries. This specificity aids in public health research and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy for traffic-related injuries. This specificity aids in public health research and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy for traffic-related injuries. This specificity aids in public health research and resource allocation.

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 V43.51?

Document the specifics of the accident, including the type of vehicles involved, the circumstances leading to the collision, and any injuries sustained. This information is crucial for accurate coding and billing.