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ICD-10 Guide
ICD-10 CodesV43.93

V43.93

Billable

Unspecified car occupant injured in collision with pick-up truck in traffic accident

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

Code Description

ICD-10 V43.93 is a billable code used to indicate a diagnosis of unspecified car occupant injured in collision with pick-up truck in traffic accident.

Key Diagnostic Point:

The ICD-10 code V43.93 is used to classify injuries sustained by an unspecified car occupant involved in a collision with a pick-up truck during a traffic accident. This code is essential for capturing the external cause of morbidity and mortality related to vehicular accidents, which are a significant public health concern. The code is particularly relevant in emergency medicine and trauma surgery settings, where accurate documentation of the circumstances surrounding an injury is critical for treatment and epidemiological tracking. It is important to note that this code does not specify the nature of the injuries sustained, which can range from minor to severe, and may include fractures, lacerations, or concussions. Proper use of this code requires thorough documentation of the incident, including the type of vehicle involved, the circumstances of the collision, and the status of the occupant at the time of the accident.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Lack of specificity regarding the nature of injuries
  • Variability in documentation practices across providers
  • Potential for misclassification if details are insufficient
  • Need for accurate linkage with primary diagnosis codes

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, vehicle types involved, and patient status upon arrival.

Common Clinical Scenarios

Patients presenting with trauma from vehicle collisions, including head injuries, fractures, and soft tissue injuries.

Billing Considerations

Emergency physicians should ensure that all relevant details are captured to support the use of external cause codes.

Trauma Surgery

Documentation Requirements

Trauma surgeons need detailed operative reports that include the mechanism of injury and any associated injuries.

Common Clinical Scenarios

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

Billing Considerations

Accurate coding is crucial for trauma registries and for understanding injury patterns in traffic accidents.

Coding Guidelines

Inclusion Criteria

Use V43.93 When
  • According to ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to document the circumstances of the injury, including the type of vehicle involved and the location of the accident
  • External cause codes should be reported to the highest level of specificity available

Exclusion Criteria

Do NOT use V43.93 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

Documentation must support the level of service, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine providers should ensure that the visit is well-documented to justify the level of care provided.

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. However, the complexity of the new coding system requires coders to be more diligent in documentation and coding practices.

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. However, the complexity of the new coding system requires coders to be more diligent in documentation and coding practices.

Reimbursement & Billing Impact

reimbursement and compliance with payer requirements.

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 V43.93?

To support the use of V43.93, document the specifics of the traffic accident, including the type of vehicle involved, the circumstances leading to the collision, and any injuries sustained by the occupant. Ensure that this information is clearly linked to the primary diagnosis.