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v1.0.0
ICD-10 Guide
ICD-10 CodesV47.7

V47.7

Billable

Person on outside of car injured in collision with fixed or stationary object in traffic accident

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

Code Description

ICD-10 V47.7 is a billable code used to indicate a diagnosis of person on outside of car injured in collision with fixed or stationary object in traffic accident.

Key Diagnostic Point:

The ICD-10 code V47.7 is used to classify injuries sustained by individuals who are outside of a vehicle and are involved in a collision with a fixed or stationary object during a traffic accident. This code is particularly relevant for documenting incidents where pedestrians, cyclists, or individuals standing near a vehicle are struck by the vehicle itself or collide with objects such as guardrails, poles, or buildings. Accurate coding of this scenario is crucial for understanding the external causes of morbidity and mortality related to traffic accidents, which can inform public health initiatives and traffic safety regulations. Clinicians must ensure that the circumstances of the injury are clearly documented, including the type of object involved and the nature of the collision, to support the use of this specific external cause code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact circumstances of the injury can be challenging.
  • Need for precise documentation of the fixed or stationary object involved.
  • Differentiating between various external cause codes for similar scenarios.
  • Potential for multiple external cause codes to apply to a single incident.

Audit Risk Factors

  • Inadequate documentation of the circumstances surrounding the injury.
  • Failure to specify the type of fixed or stationary object involved.
  • Misclassification of the injury type or cause.
  • Inconsistent coding practices among different healthcare providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must clearly describe the mechanism of injury, including the patient's position relative to the vehicle and the object involved.

Common Clinical Scenarios

Patients presenting with lacerations, fractures, or contusions after being struck by a vehicle or colliding with a stationary object.

Billing Considerations

Consideration of potential secondary injuries and the need for comprehensive documentation to support coding.

Trauma Surgery

Documentation Requirements

Detailed operative reports and trauma assessments should include descriptions of the injury mechanism and any associated injuries.

Common Clinical Scenarios

Trauma patients with multiple injuries from a traffic accident, requiring thorough documentation of all injuries sustained.

Billing Considerations

Attention to the potential for co-morbid conditions that may affect treatment and coding.

Coding Guidelines

Inclusion Criteria

Use V47.7 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is essential to document the external cause of the injury in the medical record to support the use of V47

Exclusion Criteria

Do NOT use V47.7 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 traffic accident.

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 specific coding of external causes of injuries, improving data accuracy and enabling better tracking of traffic-related injuries.

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 traffic-related injuries.

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 traffic-related injuries.

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 I document to use V47.7 accurately?

Document the patient's position relative to the vehicle, the type of fixed or stationary object involved, and the nature of the injury sustained.