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v1.0.0
ICD-10 Guide
ICD-10 CodesV44.4

V44.4

Billable

Person boarding or alighting a car injured in collision with heavy transport vehicle or bus

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

Code Description

ICD-10 V44.4 is a billable code used to indicate a diagnosis of person boarding or alighting a car injured in collision with heavy transport vehicle or bus.

Key Diagnostic Point:

The ICD-10 code V44.4 is used to classify injuries sustained by individuals who are boarding or alighting from a car and are subsequently involved in a collision with a heavy transport vehicle or bus. This code captures the external cause of morbidity and mortality related to traffic accidents, specifically focusing on the circumstances surrounding the injury. Such incidents often occur in urban settings where pedestrian traffic is high, and they can result in severe injuries due to the size and weight of heavy vehicles compared to standard passenger cars. Accurate coding of this scenario is crucial for public health data collection, injury prevention strategies, and resource allocation for emergency services. It is important for coders to ensure that the circumstances of the injury are well-documented, including the location, time of day, and any contributing factors such as weather conditions or traffic signals.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the circumstances surrounding the injury.
  • Differentiation between types of vehicles involved (e.g., bus vs. truck).
  • Potential for multiple external cause codes to be applicable.
  • Variability in local traffic laws and regulations affecting incident reporting.

Audit Risk Factors

  • Inadequate documentation of the incident details.
  • Failure to capture all relevant external cause codes.
  • Misclassification of the type of vehicle involved.
  • Inconsistent reporting of injuries across different healthcare settings.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, including the type of vehicle involved and the patient's actions at the time of the incident.

Common Clinical Scenarios

Patients presenting with trauma after being struck while boarding or alighting from a vehicle.

Billing Considerations

Consideration of other injuries that may require additional coding, such as fractures or head injuries.

Trauma Surgery

Documentation Requirements

Trauma surgeons need detailed accounts of the injury mechanism, including the speed of the vehicle and the impact force.

Common Clinical Scenarios

Trauma cases involving severe injuries from collisions with heavy vehicles.

Billing Considerations

Documentation should include any surgical interventions and the patient's response to treatment.

Coding Guidelines

Inclusion Criteria

Use V44.4 When
  • Coders should refer to the official ICD
  • CM coding guidelines, ensuring that the external cause codes are sequenced correctly and that all relevant details of the incident are captured
  • It is essential to use this code in conjunction with the appropriate injury codes to provide a complete picture of the patient's condition

Exclusion Criteria

Do NOT use V44.4 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 with injuries from a collision.

Documentation Requirements

Document the mechanism of injury and the severity of the patient's condition.

Specialty Considerations

Emergency medicine specialists should ensure that all relevant details are captured for accurate coding.

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, improving data collection and analysis for public health initiatives aimed at reducing traffic-related injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data collection and analysis for public health initiatives aimed at reducing traffic-related injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data collection and analysis for public health initiatives aimed at reducing 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

What should I document to support the use of V44.4?

Document the specific circumstances of the injury, including the type of vehicle involved, the actions of the patient at the time of the incident, and any contributing factors such as traffic conditions.