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ICD-10 Guide
ICD-10 CodesV52.6

V52.6

Billable

Passenger in pick-up truck or van injured in collision with two- or three-wheeled motor vehicle in traffic accident

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

Code Description

ICD-10 V52.6 is a billable code used to indicate a diagnosis of passenger in pick-up truck or van injured in collision with two- or three-wheeled motor vehicle in traffic accident.

Key Diagnostic Point:

This code is used to classify injuries sustained by passengers in pick-up trucks or vans involved in collisions with two- or three-wheeled motor vehicles, such as motorcycles or scooters, during traffic accidents. The use of this code is crucial for understanding the epidemiology of traffic-related injuries and for implementing public health strategies aimed at reducing such incidents. Passengers in larger vehicles like pick-up trucks or vans may experience different injury patterns compared to those in smaller vehicles, often due to the height and mass differences in collisions. Accurate coding of these incidents helps in tracking injury severity, treatment outcomes, and the effectiveness of safety measures. It is essential for healthcare providers to document the circumstances of the accident, including the type of vehicles involved, to ensure proper coding and facilitate effective data analysis for traffic safety initiatives.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of vehicles involved in the accident.
  • Documenting the specific circumstances of the collision.
  • Understanding the nuances of passenger versus driver injuries.
  • Ensuring accurate linkage with primary diagnosis codes.

Audit Risk Factors

  • Inadequate documentation of the accident details.
  • Misclassification of vehicle types involved.
  • Failure to link external cause codes with primary diagnosis codes.
  • Inconsistent coding practices among different coders.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department records must clearly document the mechanism of injury, vehicle types, and passenger status.

Common Clinical Scenarios

Patients presenting with trauma from motorcycle collisions, including fractures, lacerations, and head injuries.

Billing Considerations

Consider the need for immediate trauma assessments and the potential for multiple injuries requiring comprehensive coding.

Trauma Surgery

Documentation Requirements

Detailed operative reports and injury assessments are necessary to capture the full extent of injuries sustained.

Common Clinical Scenarios

Trauma cases involving surgical interventions due to severe injuries from traffic accidents.

Billing Considerations

Ensure that all injuries are documented and coded accurately, including any secondary injuries that may arise from the initial trauma.

Coding Guidelines

Inclusion Criteria

Use V52.6 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with diagnosis codes to provide a complete picture of the patient's condition
  • It is essential to report the external cause code to the highest level of specificity available

Exclusion Criteria

Do NOT use V52.6 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a passenger presents to the emergency department with significant injuries from a traffic accident.

Documentation Requirements

Detailed documentation of the patient's condition, treatment provided, and any imaging studies performed.

Specialty Considerations

Emergency medicine providers should ensure that all relevant details of the accident 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 collection and analysis for public health initiatives aimed at reducing 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 collection and analysis for public health initiatives aimed at reducing traffic-related injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data collection and analysis for public health initiatives aimed at reducing 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 support the use of code V52.6?

Document the type of vehicle involved, the role of the passenger, the circumstances of the accident, and any injuries sustained. This information is crucial for accurate coding and billing.