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ICD-10 Guide
ICD-10 CodesV44.7

V44.7

Billable

Person on outside of car injured in collision with heavy transport vehicle or bus in traffic accident

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

Code Description

ICD-10 V44.7 is a billable code used to indicate a diagnosis of person on outside of car injured in collision with heavy transport vehicle or bus in traffic accident.

Key Diagnostic Point:

The ICD-10 code V44.7 is used to classify injuries sustained by individuals who are outside of a vehicle and are involved in a collision with a heavy transport vehicle or bus during a traffic accident. This code is particularly relevant for documenting incidents where pedestrians, cyclists, or individuals in close proximity to the roadway are struck by larger vehicles, which often results in severe injuries due to the size and weight of the transport vehicle. Common injuries associated with this code may include fractures, traumatic brain injuries, and soft tissue injuries. Accurate coding is essential for understanding the epidemiology of traffic-related injuries and for implementing public health interventions aimed at reducing such incidents. Documentation should include details about the circumstances of the accident, the type of vehicle involved, and the nature of the injuries sustained.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact circumstances of the accident
  • Differentiating between types of vehicles involved
  • Documenting the location and environment of the incident
  • Identifying the specific injuries sustained

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Misclassification of the type of vehicle involved
  • Failure to capture all injuries sustained
  • Linking to incorrect primary diagnosis codes

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include a detailed account of the incident, patient assessment, and treatment provided.

Common Clinical Scenarios

Patients presenting with trauma after being struck by a bus or heavy vehicle, often requiring immediate intervention.

Billing Considerations

Consideration of potential multiple injuries and the need for comprehensive documentation to support coding.

Trauma Surgery

Documentation Requirements

Trauma registries should capture detailed injury patterns and mechanisms of injury for accurate coding.

Common Clinical Scenarios

Patients with severe injuries from collisions requiring surgical intervention.

Billing Considerations

Documentation must reflect the mechanism of injury and any surgical procedures performed.

Coding Guidelines

Inclusion Criteria

Use V44.7 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is important to document the cause of the injury, the location, and the activity at the time of the accident

Exclusion Criteria

Do NOT use V44.7 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 severe injuries from a traffic accident.

Documentation Requirements

Detailed documentation of the patient's condition, treatment provided, and any consultations.

Specialty Considerations

Emergency medicine specialists should ensure that all aspects of the patient's care are documented.

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 accuracy and facilitating better public health tracking of traffic-related incidents.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy and facilitating better public health tracking of traffic-related incidents.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy and facilitating better public health tracking of traffic-related incidents.

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 be documented to support the use of V44.7?

Documentation should include details about the accident, the type of vehicle involved, the location, and the specific injuries sustained by the patient.