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ICD-10 Guide
ICD-10 CodesV44.3

V44.3

Billable

Unspecified car occupant injured in collision with heavy transport vehicle or bus in nontraffic accident

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

Code Description

ICD-10 V44.3 is a billable code used to indicate a diagnosis of unspecified car occupant injured in collision with heavy transport vehicle or bus in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V44.3 is used to classify injuries sustained by car occupants involved in collisions with heavy transport vehicles or buses during nontraffic accidents. Nontraffic accidents refer to incidents that occur outside of the typical roadway environment, such as in parking lots, private property, or during vehicle loading/unloading operations. This code captures a range of potential injuries, including fractures, contusions, and lacerations, that may occur as a result of such collisions. Accurate coding is essential for understanding the epidemiology of these injuries, facilitating appropriate treatment, and ensuring proper reimbursement for healthcare services. Documentation should clearly indicate the circumstances of the accident, including the location and nature of the collision, to support the use of this specific external cause code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in documentation regarding the specifics of the accident location.
  • Variability in injury severity and types, which may not be clearly documented.
  • Potential overlap with other external cause codes that may lead to confusion.
  • Need for precise language to differentiate between traffic and nontraffic accidents.

Audit Risk Factors

  • Inadequate documentation of the accident circumstances.
  • Misclassification of traffic vs. nontraffic accidents.
  • Failure to specify the type of injuries sustained.
  • Inconsistent coding practices among different coders.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include details of the accident, mechanism of injury, and initial assessment findings.

Common Clinical Scenarios

Patients presenting with injuries from collisions in parking lots or during vehicle maneuvers on private property.

Billing Considerations

Ensure that the documentation specifies the nontraffic nature of the accident to support the use of V44.3.

Trauma Surgery

Documentation Requirements

Trauma notes must detail the mechanism of injury, injury types, and any surgical interventions performed.

Common Clinical Scenarios

Trauma cases involving significant injuries from collisions with heavy vehicles during loading/unloading.

Billing Considerations

Accurate coding requires thorough documentation of the injury mechanism and context to justify the use of this external cause code.

Coding Guidelines

Inclusion Criteria

Use V44.3 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be reported in conjunction with the primary diagnosis code
  • It is essential to document the circumstances of the injury clearly and to use the most specific code available to describe the external cause

Exclusion Criteria

Do NOT use V44.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used when a patient presents with injuries from a nontraffic accident involving a heavy vehicle.

Documentation Requirements

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

Specialty Considerations

Emergency medicine providers should ensure that the reason for the visit aligns with the external cause code.

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, including nontraffic accidents. This specificity aids in better tracking and understanding of injury patterns, which can inform public health initiatives and safety regulations.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including nontraffic accidents. This specificity aids in better tracking and understanding of injury patterns, which can inform public health initiatives and safety regulations.

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 V44.3 instead of V44.2?

Use V44.3 when the accident occurs in a nontraffic setting, such as a parking lot or private property. If the accident occurs on a public roadway, use V44.2.