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v1.0.0
ICD-10 Guide
ICD-10 CodesV46.3

V46.3

Billable

Unspecified car occupant injured in collision with other nonmotor vehicle in nontraffic accident

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

Code Description

ICD-10 V46.3 is a billable code used to indicate a diagnosis of unspecified car occupant injured in collision with other nonmotor vehicle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V46.3 is used to classify injuries sustained by car occupants involved in collisions with nonmotor vehicles during nontraffic accidents. This code is particularly relevant in scenarios where the specifics of the incident do not fall under typical traffic-related incidents, such as collisions occurring in private property settings or during recreational activities. Examples include a car hitting a bicycle or a pedestrian in a parking lot or driveway. Accurate coding requires detailed documentation of the circumstances surrounding the incident, including the type of nonmotor vehicle involved and the environment where the accident occurred. This code is essential for tracking morbidity and mortality related to nontraffic accidents, which can inform public health initiatives and safety regulations.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in documentation regarding the specifics of the accident.
  • Variability in how nonmotor vehicles are defined and documented.
  • Need for precise details about the accident location and circumstances.
  • Potential overlap with other external cause codes that may apply.

Audit Risk Factors

  • Inadequate documentation of the accident circumstances.
  • Misclassification of the accident type (traffic vs. nontraffic).
  • Failure to specify the type of nonmotor vehicle involved.
  • Inconsistent coding practices among different healthcare providers.

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, pedestrians, or other nonmotor vehicles in nontraffic settings.

Billing Considerations

Emergency physicians should ensure that the documentation clearly distinguishes between traffic and nontraffic incidents to avoid coding errors.

Trauma Surgery

Documentation Requirements

Trauma surgeons need comprehensive documentation of the injury mechanism, including the type of nonmotor vehicle and the circumstances of the accident.

Common Clinical Scenarios

Trauma cases involving car occupants injured in collisions with nonmotor vehicles during recreational activities or on private property.

Billing Considerations

Trauma documentation should include detailed descriptions of the injuries sustained and the context of the accident to support accurate coding.

Coding Guidelines

Inclusion Criteria

Use V46.3 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to provide the most specific code available and to document the circumstances of the injury thoroughly

Exclusion Criteria

Do NOT use V46.3 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 to the emergency department with injuries from a nontraffic accident.

Documentation Requirements

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

Specialty Considerations

Emergency medicine specialists should ensure that the visit is well-documented to support the coding of the external cause.

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.

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.

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

What types of incidents does V46.3 cover?

V46.3 covers injuries sustained by car occupants in collisions with nonmotor vehicles during nontraffic accidents, such as those occurring in parking lots or private properties.

How can I ensure accurate coding for V46.3?

To ensure accurate coding, document the specifics of the accident, including the type of nonmotor vehicle involved and the circumstances surrounding the incident.