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ICD-10 Guide
ICD-10 CodesV43.64

V43.64

Billable

Car passenger injured in collision with van in traffic accident

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

Code Description

ICD-10 V43.64 is a billable code used to indicate a diagnosis of car passenger injured in collision with van in traffic accident.

Key Diagnostic Point:

The ICD-10 code V43.64 is used to classify injuries sustained by a car passenger involved in a collision with a van during a traffic accident. This code is part of the external cause of morbidity and mortality codes, which provide essential information about the circumstances surrounding injuries and accidents. Accurate coding of this incident is crucial for understanding the epidemiology of traffic-related injuries, facilitating public health interventions, and ensuring appropriate resource allocation for trauma care. In clinical practice, this code is typically assigned when a passenger in a car is injured due to a collision with a van, capturing the specific dynamics of the accident. Documentation should include details about the nature of the injuries, the circumstances of the accident, and any contributing factors such as weather conditions or traffic violations. This code is particularly relevant in emergency medicine and trauma surgery settings, where understanding the mechanism of injury can guide treatment and management strategies.

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 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 coders.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, including vehicle types, speed, and impact details.

Common Clinical Scenarios

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

Billing Considerations

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

Trauma Surgery

Documentation Requirements

Detailed operative reports and injury assessments must be documented, including any surgical interventions.

Common Clinical Scenarios

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

Billing Considerations

Accurate coding of all injuries sustained during the accident is critical for surgical planning and follow-up care.

Coding Guidelines

Inclusion Criteria

Use V43.64 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • The external cause code should reflect the specific circumstances of the injury, including the type of vehicle involved and the nature of the accident

Exclusion Criteria

Do NOT use V43.64 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 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 comprehensive 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 detailed coding of external causes of injuries, improving data accuracy and enabling better tracking of traffic-related injuries and their outcomes.

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, improving data accuracy and enabling better tracking of traffic-related injuries and their 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 be documented to support the use of V43.64?

Documentation should include details about the accident, such as the type of vehicles involved, the location of the accident, the speed at which the vehicles were traveling, and the nature of the injuries sustained by the passenger.