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v1.0.0
ICD-10 Guide
ICD-10 CodesV46.2

V46.2

Billable

Person on outside of car injured in collision with other nonmotor vehicle in nontraffic accident

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

Code Description

ICD-10 V46.2 is a billable code used to indicate a diagnosis of person on outside of car injured in collision with other nonmotor vehicle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V46.2 is used to classify injuries sustained by individuals who are outside of a vehicle and are involved in a collision with a nonmotor vehicle, such as a bicycle, pedestrian, or animal, in a nontraffic setting. This code is particularly relevant in cases where the injury occurs in private property or during recreational activities, rather than on public roads. Clinical scenarios may include a pedestrian being struck by a bicycle while walking on a sidewalk or a person being injured by a horse while riding. Accurate coding is essential for tracking injury patterns, understanding public health implications, and ensuring appropriate resource allocation for injury prevention programs. Documentation should clearly indicate the circumstances of the incident, including the type of nonmotor vehicle involved and the location of the accident to support the use of this specific code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact nature of the nonmotor vehicle involved
  • Clarifying whether the incident occurred in a traffic or nontraffic setting
  • Accurately documenting the location of the accident
  • Differentiating between similar external cause codes

Audit Risk Factors

  • Inadequate documentation of the incident details
  • Misclassification of the type of vehicle involved
  • Failure to specify the location of the accident
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include a detailed account of the incident, including the mechanism of injury and any relevant witness statements.

Common Clinical Scenarios

Pedestrian struck by a bicycle, injuries from a horse riding accident.

Billing Considerations

Ensure that the documentation specifies the nonmotor vehicle involved and the context of the injury to support accurate coding.

Trauma Surgery

Documentation Requirements

Trauma notes must detail the injury mechanism, including the type of nonmotor vehicle and the circumstances surrounding the injury.

Common Clinical Scenarios

Injuries from collisions with bicycles or animals, particularly in recreational settings.

Billing Considerations

Consider the potential for multiple injuries and ensure all are documented and coded appropriately.

Coding Guidelines

Inclusion Criteria

Use V46.2 When
  • Follow the ICD
  • CM Official Guidelines for Coding and Reporting, ensuring that the external cause code is reported in conjunction with the appropriate injury diagnosis codes
  • The external cause code should reflect the specific circumstances of the injury

Exclusion Criteria

Do NOT use V46.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, level 3

Clinical Scenario

Used for a patient presenting to the ED with injuries from a nonmotor vehicle collision.

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 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 granular coding of external causes of injuries, improving data accuracy and facilitating better public health tracking and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more granular coding of external causes of injuries, improving data accuracy and facilitating better public health tracking and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more granular coding of external causes of injuries, improving data accuracy and facilitating better public health tracking and resource allocation.

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 V46.2?

Use V46.2 when documenting injuries sustained by a person outside of a vehicle involved in a collision with a nonmotor vehicle in a nontraffic setting. Ensure that the specifics of the incident are well-documented.