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v1.0.0
ICD-10 Guide
ICD-10 CodesV46.1

V46.1

Billable

Car passenger injured in collision with other nonmotor vehicle in nontraffic accident

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

Code Description

ICD-10 V46.1 is a billable code used to indicate a diagnosis of car passenger injured in collision with other nonmotor vehicle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V46.1 is used to classify injuries sustained by a car passenger involved in a collision with a nonmotor vehicle, such as a bicycle, pedestrian, or animal, occurring in a nontraffic setting. This code is particularly relevant in scenarios where the accident does not take place on a public roadway, such as in a parking lot, private property, or during recreational activities. Accurate coding of this scenario is crucial for understanding the epidemiology of injuries, facilitating appropriate treatment, and ensuring proper reimbursement. Documentation should include details about the nature of the collision, the type of nonmotor vehicle involved, and the circumstances surrounding the incident. This code helps public health professionals analyze trends in nontraffic-related injuries and develop preventive measures.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact nature of the collision and the type of nonmotor vehicle involved.
  • Differentiating between traffic and nontraffic accidents.
  • Ensuring accurate documentation of the accident's location and circumstances.
  • Understanding the nuances of external cause coding guidelines.

Audit Risk Factors

  • Inadequate documentation of the accident circumstances.
  • Misclassification of the accident as traffic-related.
  • Failure to specify the type of nonmotor vehicle involved.
  • Inconsistent coding practices among different coders.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, including details about the nonmotor vehicle and the accident's location.

Common Clinical Scenarios

Patients presenting with injuries from collisions with bicycles or pedestrians in parking lots.

Billing Considerations

Emergency physicians should ensure that the documentation reflects the nontraffic nature of the accident to avoid misclassification.

Trauma Surgery

Documentation Requirements

Trauma surgeons need comprehensive documentation of the injury mechanism, including the type of nonmotor vehicle and the impact on the patient.

Common Clinical Scenarios

Trauma cases involving significant injuries from collisions with nonmotor vehicles, such as bicycles or animals.

Billing Considerations

Accurate coding is essential for trauma registries and for understanding injury patterns in nontraffic incidents.

Coding Guidelines

Inclusion Criteria

Use V46.1 When
  • Coders should refer to the official ICD
  • CM coding guidelines, particularly those related to external causes of morbidity
  • It is essential to code the specific circumstances of the accident and to use additional codes to specify the nature of the injuries sustained

Exclusion Criteria

Do NOT use V46.1 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 to the emergency department with injuries from a nonmotor vehicle collision.

Documentation Requirements

Documentation must include details of the injury and the mechanism of the accident.

Specialty Considerations

Emergency medicine specialists should ensure that the external cause code is accurately linked to the visit.

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, improving data accuracy for public health analysis and enhancing the ability to track injury trends.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy for public health analysis and enhancing the ability to track injury trends.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy for public health analysis and enhancing the ability to track injury trends.

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 types of accidents does V46.1 cover?

V46.1 covers injuries sustained by car passengers in collisions with nonmotor vehicles, such as bicycles or pedestrians, occurring in nontraffic settings.