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v1.0.0
ICD-10 Guide
ICD-10 CodesV46.9

V46.9

Billable

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

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

Code Description

ICD-10 V46.9 is a billable code used to indicate a diagnosis of unspecified car occupant injured in collision with other nonmotor vehicle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V46.9 is used to classify injuries sustained by car occupants involved in collisions with nonmotor vehicles, such as bicycles, pedestrians, or animals, during traffic accidents. This code is particularly relevant in cases where the specifics of the incident are not fully documented or when the nature of the injury does not allow for a more precise classification. It encompasses a range of potential injuries, from minor bruises to severe trauma, and is crucial for understanding the epidemiology of traffic-related injuries. Accurate coding is essential for public health data collection, resource allocation, and injury prevention strategies. In clinical practice, this code may be applied in emergency departments, trauma centers, and outpatient settings when treating patients who have been involved in such accidents, ensuring that the data reflects the impact of these incidents on public health.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in documentation regarding the specifics of the collision.
  • Variability in injury severity and types, leading to potential misclassification.
  • Need for comprehensive details about the nonmotor vehicle involved.
  • Potential overlap with other external cause codes, complicating accurate coding.

Audit Risk Factors

  • Inadequate documentation of the incident details.
  • Failure to specify the type of nonmotor vehicle involved.
  • Misuse of unspecified codes leading to potential denials.
  • Inconsistent coding practices among different providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, type of nonmotor vehicle, and specific injuries sustained.

Common Clinical Scenarios

Patients presenting with injuries from collisions with bicycles or pedestrians.

Billing Considerations

Ensure that all relevant details are captured in the medical record to support accurate coding.

Trauma Surgery

Documentation Requirements

Trauma documentation should include detailed descriptions of injuries and the circumstances of the collision.

Common Clinical Scenarios

Trauma cases involving severe injuries from collisions with nonmotor vehicles.

Billing Considerations

Consider the potential for multiple injuries and the need for comprehensive coding.

Coding Guidelines

Inclusion Criteria

Use V46.9 When
  • Coders should refer to the official ICD
  • CM coding guidelines, which emphasize the need for specificity in coding external causes of morbidity
  • When using V46
  • 9, coders must ensure that the documentation supports the unspecified nature of the injury and the collision details

Exclusion Criteria

Do NOT use V46.9 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, level 3

Clinical Scenario

Used when a patient presents with injuries from a collision with a nonmotor vehicle.

Documentation Requirements

Document the nature of the injuries and the circumstances of the accident.

Specialty Considerations

Emergency medicine providers should ensure thorough documentation to support the level of service billed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding external causes of injuries, improving data quality for public health initiatives and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding external causes of injuries, improving data quality for public health initiatives and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding external causes of injuries, improving data quality for public health initiatives 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 V46.9?

Use V46.9 when a car occupant is injured in a collision with a nonmotor vehicle, and the specifics of the incident are not fully documented or when the nature of the injury does not allow for a more precise classification.