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ICD-10 Guide
ICD-10 CodesV43.94

V43.94

Billable

Unspecified car occupant injured in collision with van in traffic accident

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

Code Description

ICD-10 V43.94 is a billable code used to indicate a diagnosis of unspecified car occupant injured in collision with van in traffic accident.

Key Diagnostic Point:

The ICD-10 code V43.94 is used to classify injuries sustained by an unspecified car occupant involved in a collision with a van during a traffic accident. This code is particularly relevant in cases where the specifics of the injury or the occupant's role (driver or passenger) are not clearly documented. It encompasses a range of potential injuries, from minor bruises to severe trauma, and is critical for understanding the epidemiology of traffic-related injuries. Accurate coding is essential for public health data collection, resource allocation, and injury prevention strategies. In emergency and trauma settings, this code helps in tracking the incidence of vehicular injuries and informs the development of targeted interventions to reduce such accidents. Proper documentation of the circumstances surrounding the accident, including the type of vehicle involved and the nature of the injuries, is crucial for the accurate application of this code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Lack of specificity in documentation regarding the occupant's role (driver vs. passenger)
  • Variability in injury severity and types that may not be detailed in the medical record
  • Potential for misclassification if the accident details are not thoroughly documented
  • Need for additional codes to capture specific injuries sustained

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Failure to specify the type of injuries sustained
  • Misuse of unspecified codes leading to potential denials
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, the type of vehicle involved, and the patient's role in the accident.

Common Clinical Scenarios

Patients presenting with trauma after a vehicular collision, where the specifics of the injury are not fully detailed.

Billing Considerations

Ensure that all relevant details about the accident are captured to avoid ambiguity in coding.

Trauma Surgery

Documentation Requirements

Trauma registries should include comprehensive details about the injury mechanism, patient demographics, and injury severity scores.

Common Clinical Scenarios

Trauma cases involving multiple injuries from a traffic accident, where the coding must reflect the complexity of the injuries.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use V43.94 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with injury codes to provide a complete picture of the patient's condition
  • It is essential to document the circumstances of the accident, including the type of vehicle involved, to ensure accurate coding

Exclusion Criteria

Do NOT use V43.94 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 after a traffic accident.

Documentation Requirements

Documentation must include details of the accident and the patient's condition upon arrival.

Specialty Considerations

Emergency medicine specialists should ensure that the mechanism of injury is clearly documented.

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, including traffic accidents. This has improved the ability to track and analyze injury data, leading to better public health initiatives and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, including traffic accidents. This has improved the ability to track and analyze injury data, leading to better public health initiatives and resource allocation.

Reimbursement & Billing Impact

reimbursement and to avoid claim denials.

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 V43.94?

Document the specifics of the accident, including the type of vehicle involved, the role of the patient (driver or passenger), and the nature of the injuries sustained. This will help ensure accurate coding and reduce the risk of audits.