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v1.0.0
ICD-10 Guide
ICD-10 CodesV46.7

V46.7

Billable

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

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

Code Description

ICD-10 V46.7 is a billable code used to indicate a diagnosis of person on outside of car injured in collision with other nonmotor vehicle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V46.7 is used to classify injuries sustained by individuals who are outside of a motor vehicle and are involved in a collision with a nonmotor vehicle, such as a bicycle, pedestrian, or animal, during a traffic accident. This code is critical for accurately capturing the circumstances surrounding the injury, which can influence treatment decisions, resource allocation, and public health strategies. In clinical practice, this code is often applied in emergency departments and trauma centers where patients present with injuries resulting from such incidents. Documentation must clearly indicate the nature of the collision, the location of the injury, and any contributing factors, such as speed or visibility conditions, to ensure accurate coding and billing. Understanding the context of the accident is essential for proper coding and for analyzing trends in traffic-related injuries, which can inform preventive measures and policy changes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident circumstances
  • Differentiation between motor and nonmotor vehicle collisions
  • Potential for multiple injuries requiring additional codes
  • Variability in state traffic laws affecting coding

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Misclassification of the type of vehicle involved
  • Failure to capture all injuries sustained
  • Inconsistent coding practices across providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency physicians must document the mechanism of injury, including the type of nonmotor vehicle involved, the patient's position at the time of the accident, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with fractures, lacerations, or contusions after being struck by a bicycle or pedestrian.

Billing Considerations

Consideration of the patient's pre-existing conditions that may affect recovery or treatment.

Trauma Surgery

Documentation Requirements

Trauma surgeons need detailed accounts of the injury mechanism, including the speed of the nonmotor vehicle and the impact force, as well as any surgical interventions performed.

Common Clinical Scenarios

Severe injuries requiring surgical intervention, such as internal bleeding or complex fractures.

Billing Considerations

Documentation should include the patient's vital signs and any complications arising from the injury.

Coding Guidelines

Inclusion Criteria

Use V46.7 When
  • According to the ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is important to report the external cause code in the secondary position to the primary diagnosis code that reflects the injury sustained

Exclusion Criteria

Do NOT use V46.7 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 injuries from a nonmotor vehicle collision.

Documentation Requirements

Documentation must include the nature of the injuries and the mechanism of injury.

Specialty Considerations

Emergency medicine specialists should ensure that all relevant details of the incident are captured.

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 enabling better tracking of injury patterns and prevention efforts.

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 enabling better tracking of injury patterns and prevention efforts.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy and enabling better tracking of injury patterns and prevention efforts.

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 code V46.7?

Documentation should include details about the type of nonmotor vehicle involved, the circumstances of the collision, the patient's position at the time of the accident, and any injuries sustained.