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ICD-10 Guide
ICD-10 CodesV48.4

V48.4

Billable

Person boarding or alighting a car injured in noncollision transport accident

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

Code Description

ICD-10 V48.4 is a billable code used to indicate a diagnosis of person boarding or alighting a car injured in noncollision transport accident.

Key Diagnostic Point:

The ICD-10 code V48.4 is used to classify injuries sustained by individuals while boarding or alighting from a car during noncollision transport accidents. This includes scenarios where a person is injured due to falls, slips, or other mishaps that occur while entering or exiting a vehicle, rather than as a result of a collision with another vehicle or object. Such incidents can occur in various settings, including parking lots, driveways, or during public transport operations. Accurate coding of this scenario is crucial for understanding the epidemiology of transport-related injuries and for implementing preventive measures. Documentation should include details about the circumstances of the injury, the mechanism of injury, and any contributing factors such as environmental conditions or the presence of assistive devices. This code is essential for public health data collection and for assessing the impact of transport safety interventions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires detailed documentation of the incident circumstances.
  • Differentiating between collision and noncollision injuries.
  • Potential overlap with other external cause codes.
  • Need for precise coding to capture the mechanism of injury accurately.

Audit Risk Factors

  • Inadequate documentation of the incident details.
  • Misclassification of the injury type (collision vs. noncollision).
  • Failure to capture the external cause accurately.
  • Inconsistent coding practices across different providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly describe the mechanism of injury, including the patient's actions at the time of injury.

Common Clinical Scenarios

Patients presenting with fractures or soft tissue injuries after falling while getting in or out of a vehicle.

Billing Considerations

Consider environmental factors such as weather conditions or surface types that may have contributed to the fall.

Trauma Surgery

Documentation Requirements

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

Common Clinical Scenarios

Trauma cases involving multiple injuries from falls during boarding or alighting.

Billing Considerations

Ensure that all injuries are documented and coded accurately to reflect the full extent of trauma.

Coding Guidelines

Inclusion Criteria

Use V48.4 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the external cause code is reported in conjunction with the appropriate injury codes
  • The external cause code should be sequenced after the injury code to provide context for the injury

Exclusion Criteria

Do NOT use V48.4 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 noncollision transport accident.

Documentation Requirements

Document the patient's history, examination findings, and treatment plan.

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, including noncollision transport accidents. This specificity aids in better data collection and analysis for 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 noncollision transport accidents. This specificity aids in better data collection and analysis for public health initiatives.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including noncollision transport accidents. This specificity aids in better data collection and analysis for public health initiatives.

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 injuries are coded with V48.4?

V48.4 is used for injuries sustained while boarding or alighting from a vehicle, such as falls resulting in fractures, sprains, or lacerations.

How can I ensure accurate coding for V48.4?

Accurate coding requires detailed documentation of the incident, including the mechanism of injury and any contributing factors. Ensure that the code is not used for collision-related injuries.