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ICD-10 Guide
ICD-10 CodesV43.7

V43.7

Billable

Person on outside of car 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 V43.7 is a billable code used to indicate a diagnosis of person on outside of car injured in collision with car, pick-up truck or van in traffic accident.

Key Diagnostic Point:

The ICD-10 code V43.7 is used to classify injuries sustained by individuals who are outside of a vehicle and are involved in a collision with a car, pick-up truck, or van during a traffic accident. This code is particularly relevant for documenting incidents where pedestrians, cyclists, or individuals engaged in other activities outside of a vehicle are struck by motor vehicles. The injuries can range from minor abrasions to severe trauma, including fractures, head injuries, and internal injuries, depending on the speed of the vehicle and the circumstances of the accident. Accurate coding of this incident is crucial for understanding the epidemiology of traffic-related injuries and for implementing public health interventions aimed at reducing such incidents. Proper documentation should include details about the circumstances of the accident, the type of vehicle involved, and the nature of the injuries sustained.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact circumstances of the accident
  • Differentiating between types of vehicles involved
  • Documenting the location and environment of the incident
  • Identifying the specific injuries sustained

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Misclassification of the type of vehicle involved
  • Failure to link the external cause code with the primary diagnosis
  • Inconsistent reporting of injuries sustained

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, type of vehicle, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with trauma after being struck by a vehicle while walking or cycling.

Billing Considerations

Consider the need for additional codes to capture specific injuries and the context of the accident.

Trauma Surgery

Documentation Requirements

Detailed operative reports and trauma assessments should include the mechanism of injury and any surgical interventions performed.

Common Clinical Scenarios

Patients requiring surgical intervention for severe injuries sustained in a traffic accident.

Billing Considerations

Ensure accurate coding of all injuries and their relation to the external cause code.

Coding Guidelines

Inclusion Criteria

Use V43.7 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with diagnosis codes to provide a complete picture of the patient's condition
  • It is important to document the external cause of injury in the medical record to support the use of this code

Exclusion Criteria

Do NOT use V43.7 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 support the level of service, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine specialists 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 of injuries, improving data accuracy and enabling better tracking of traffic-related injuries. This specificity aids in public health initiatives aimed at reducing traffic accidents.

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. This specificity aids in public health initiatives aimed at reducing traffic accidents.

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. This specificity aids in public health initiatives aimed at reducing traffic accidents.

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 code V43.7?

Documentation should include the circumstances of the accident, the type of vehicle involved, the patient's location at the time of the incident, and the nature of the injuries sustained. This information is crucial for accurate coding and billing.