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ICD-10 Guide
ICD-10 CodesV43.53

V43.53

Billable

Car driver injured in collision with pick-up truck in traffic accident

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

Code Description

ICD-10 V43.53 is a billable code used to indicate a diagnosis of car driver injured in collision with pick-up truck in traffic accident.

Key Diagnostic Point:

The ICD-10 code V43.53 is used to classify injuries sustained by a car driver involved in a collision with a pick-up truck during a traffic accident. This code is part of the external cause of morbidity and mortality codes, which are essential for understanding the circumstances surrounding injuries and accidents. Accurate coding of such incidents is crucial for public health data, resource allocation, and injury prevention strategies. In clinical practice, this code is typically applied when a patient presents with injuries resulting from a vehicular collision, specifically indicating the type of vehicle involved. Documentation should include details about the accident, such as the location, time, and circumstances leading to the collision, as well as the nature of the injuries sustained. This code helps in tracking traffic-related injuries and can inform policy decisions aimed at improving road safety.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of vehicle type involved in the accident
  • Need for detailed documentation of the accident circumstances
  • Variability in injury types and severity
  • Potential for multiple external cause codes to be applicable

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Failure to link the external cause code to the primary diagnosis
  • Misclassification of the type of vehicle involved
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with trauma from vehicular accidents, including fractures, lacerations, and concussions.

Billing Considerations

Emergency physicians should ensure that all relevant details are captured in the medical record to support accurate coding.

Trauma Surgery

Documentation Requirements

Trauma surgeons need to document the extent of injuries, surgical interventions, and the mechanism of injury in detail.

Common Clinical Scenarios

Patients requiring surgical intervention due to severe injuries from traffic accidents.

Billing Considerations

Trauma documentation must include specifics about the collision to ensure proper coding and billing.

Coding Guidelines

Inclusion Criteria

Use V43.53 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to capture the full context of the injury, including the external cause, to provide a comprehensive view of the patient's condition

Exclusion Criteria

Do NOT use V43.53 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a patient presents with significant injuries from a traffic accident.

Documentation Requirements

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

Specialty Considerations

Emergency medicine providers should ensure that all relevant details of the accident and injuries are 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 accuracy and enabling better tracking of traffic-related injuries.

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 enabling better tracking of traffic-related injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy and enabling better tracking of traffic-related injuries.

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 be documented to support the use of V43.53?

Documentation should include details about the accident, such as the type of vehicles involved, the circumstances leading to the collision, and the nature of the injuries sustained by the driver.