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ICD-10 Guide
ICD-10 CodesV43.72

V43.72

Billable

Person on outside of car injured in collision with other type car in traffic accident

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

Code Description

ICD-10 V43.72 is a billable code used to indicate a diagnosis of person on outside of car injured in collision with other type car in traffic accident.

Key Diagnostic Point:

The ICD-10 code V43.72 is used to classify injuries sustained by individuals who are outside of a vehicle and are involved in a collision with another type of car during a traffic accident. This code is particularly relevant for documenting incidents where pedestrians or individuals near a vehicle are struck by another vehicle, highlighting the external cause of morbidity and mortality associated with traffic accidents. Accurate coding is essential for understanding the epidemiology of traffic-related injuries, facilitating public health interventions, and ensuring appropriate resource allocation for trauma care. This code is often used in emergency departments, trauma centers, and public health reporting to track and analyze the incidence of such injuries, which can lead to significant morbidity, including fractures, head injuries, and soft tissue injuries. Proper documentation should include details about the circumstances of the accident, the type of vehicles involved, and the specific injuries sustained to ensure accurate coding and reporting.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for detailed documentation of the accident circumstances
  • Variability in injury types and severity
  • Potential for multiple external cause codes to apply
  • Differentiating between types of vehicles involved

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, patient location, and any witness statements regarding the accident.

Common Clinical Scenarios

Patients presenting with trauma after being struck by a vehicle while walking or standing near a road.

Billing Considerations

Consideration of the patient's pre-existing conditions that may affect injury severity and treatment.

Trauma Surgery

Documentation Requirements

Trauma registries should include detailed descriptions of the injury patterns and mechanisms involved in the collision.

Common Clinical Scenarios

Trauma cases involving pedestrians or individuals outside vehicles requiring surgical intervention.

Billing Considerations

Accurate coding is crucial for trauma outcomes analysis and resource allocation.

Coding Guidelines

Inclusion Criteria

Use V43.72 When
  • Follow the ICD
  • CM coding guidelines for external causes of morbidity, ensuring that the code is used in conjunction with the appropriate injury codes
  • Document the circumstances of the accident thoroughly to support the use of this code

Exclusion Criteria

Do NOT use V43.72 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

Document the patient's condition, treatment provided, and any referrals made.

Specialty Considerations

Emergency medicine specialists should ensure that the visit is coded accurately based on the complexity of care.

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 and facilitating better public health tracking of traffic-related injuries.

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy and facilitating better public health 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

When should V43.72 be used?

V43.72 should be used when documenting injuries sustained by a person outside of a vehicle involved in a collision with another vehicle during a traffic accident.