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ICD-10 Guide
ICD-10 CodesV43.91

V43.91

Billable

Unspecified car occupant injured in collision with sport utility vehicle in traffic accident

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

Code Description

ICD-10 V43.91 is a billable code used to indicate a diagnosis of unspecified car occupant injured in collision with sport utility vehicle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V43.91 is used to classify injuries sustained by an unspecified car occupant involved in a collision with a sport utility vehicle (SUV) during a traffic accident. This code is essential for capturing the external cause of morbidity and mortality associated with vehicular accidents, which are a significant public health concern. The code is particularly relevant in scenarios where the specifics of the injury are not detailed, but the mechanism of injury (i.e., collision with an SUV) is known. Accurate coding is crucial for epidemiological studies, resource allocation, and injury prevention strategies. It is important to document the circumstances surrounding the accident, including the location, time, and contributing factors, to provide a comprehensive understanding of the incident and its impact on public health.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Lack of specificity regarding the nature of the injury
  • Variability in documentation practices among providers
  • Potential for misclassification if details are not thoroughly captured
  • Need for correlation with other codes for comprehensive injury reporting

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Failure to link the external cause code with the appropriate injury diagnosis
  • Use of unspecified codes when more specific codes are available
  • Inconsistent coding practices across different healthcare providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, patient demographics, and any pre-existing conditions that may affect treatment.

Common Clinical Scenarios

Patients presenting with trauma following a collision with an SUV, including fractures, lacerations, or concussions.

Billing Considerations

Emergency providers should ensure that all relevant details of the accident are captured to support accurate coding.

Trauma Surgery

Documentation Requirements

Trauma surgeons need to document the specifics of the injury, surgical interventions, and any complications that arise.

Common Clinical Scenarios

Trauma cases involving multiple injuries from a vehicular collision, requiring surgical intervention.

Billing Considerations

Trauma documentation must include the mechanism of injury and the patient's response to treatment for accurate coding.

Coding Guidelines

Inclusion Criteria

Use V43.91 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with injury diagnosis codes
  • It is essential to report the external cause code to provide context for the injury and to follow the guidelines for sequencing codes appropriately

Exclusion Criteria

Do NOT use V43.91 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, level 3

Clinical Scenario

Used for patients presenting with moderate severity injuries from a traffic accident.

Documentation Requirements

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

Specialty Considerations

Emergency medicine providers should ensure that the visit level reflects the complexity of the case.

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 collection and analysis for public health initiatives. V43.91 provides a mechanism to capture data on unspecified injuries in traffic accidents, which can inform safety measures and policy changes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, improving data collection and analysis for public health initiatives. V43.91 provides a mechanism to capture data on unspecified injuries in traffic accidents, which can inform safety measures and policy changes.

Reimbursement & Billing Impact

reimbursement.

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 I use V43.91?

Use V43.91 when documenting injuries sustained by a car occupant in a collision with an SUV, and the specifics of the injury are not detailed. Ensure that it is linked to an appropriate injury diagnosis code.