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ICD-10 Guide
ICD-10 CodesV43.63

V43.63

Billable

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

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

Code Description

ICD-10 V43.63 is a billable code used to indicate a diagnosis of car passenger injured in collision with pick-up truck in traffic accident.

Key Diagnostic Point:

The ICD-10 code V43.63 is used to classify injuries sustained by a car passenger 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 classification, which captures the circumstances surrounding injuries and accidents. In clinical practice, this code is essential for documenting the specific context of the injury, which can influence treatment decisions, resource allocation, and public health strategies. Accurate coding of such incidents is crucial for understanding patterns of traffic-related injuries, which can inform preventive measures and policy-making. The code is typically used in emergency departments, trauma centers, and outpatient settings when a patient presents with injuries resulting from a vehicular collision, specifically as a passenger in a car. Proper documentation should include details about the accident, such as the type of vehicle involved, the nature of the collision, and any contributing factors like weather conditions or road conditions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident details
  • Differentiation between various types of vehicle collisions
  • Potential for multiple external cause codes to be applicable
  • Variability in injury severity and associated codes

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Failure to capture all relevant external cause codes
  • Misclassification of the type of vehicle involved
  • Inconsistent coding practices among different providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency physicians must document the mechanism of injury, including vehicle types, collision details, and patient position at the time of impact.

Common Clinical Scenarios

Patients presenting with lacerations, fractures, or concussions following a traffic accident.

Billing Considerations

Consideration of potential secondary injuries and the need for comprehensive trauma assessments.

Trauma Surgery

Documentation Requirements

Trauma surgeons should document the extent of injuries, surgical interventions, and any complications arising from the accident.

Common Clinical Scenarios

Severe injuries requiring surgical intervention, such as internal bleeding or complex fractures.

Billing Considerations

Accurate coding of associated injuries and the mechanism of injury is critical for surgical planning and outcomes tracking.

Coding Guidelines

Inclusion Criteria

Use V43.63 When
  • According to ICD
  • 10 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 capture the circumstances surrounding the event accurately

Exclusion Criteria

Do NOT use V43.63 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 traffic accident.

Documentation Requirements

Documentation must include the nature of the injuries and the circumstances of the accident.

Specialty Considerations

Emergency medicine specialists 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 enabling better tracking of injury patterns and outcomes.

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 injury patterns and outcomes.

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 injury patterns and outcomes.

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 V43.63?

You should document the specifics of the accident, including the type of vehicles involved, the circumstances of the collision, the patient's position in the vehicle, and any contributing factors such as weather or road conditions.