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ICD-10 Guide
ICD-10 CodesV53.1

V53.1

Billable

Passenger in pick-up truck or van injured in collision with car, pick-up truck or van in nontraffic accident

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

Code Description

ICD-10 V53.1 is a billable code used to indicate a diagnosis of passenger in pick-up truck or van injured in collision with car, pick-up truck or van in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V53.1 is used to classify injuries sustained by passengers in pick-up trucks or vans involved in collisions with other vehicles, specifically in nontraffic accidents. Nontraffic accidents refer to incidents that occur outside of public roadways, such as in parking lots, driveways, or private property. This code is crucial for accurately documenting the circumstances surrounding the injury, which can impact treatment decisions, insurance claims, and public health data collection. Clinical scenarios may include a passenger being injured when a pick-up truck collides with another vehicle while maneuvering in a parking lot. Accurate coding requires thorough documentation of the accident's context, including the location and nature of the collision, to ensure proper classification and reimbursement. Understanding the nuances of this code is essential for healthcare providers and coders to facilitate effective communication regarding patient care and injury prevention strategies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact nature of the accident (nontraffic vs. traffic)
  • Identifying the specific vehicle types involved
  • Documenting the location of the incident accurately
  • Differentiating between similar external cause codes

Audit Risk Factors

  • Inadequate documentation of the accident's circumstances
  • Misclassification of traffic vs. nontraffic accidents
  • Failure to specify the type of vehicle involved
  • Inconsistent coding practices among different providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must clearly describe the mechanism of injury, location of the accident, and any relevant patient history.

Common Clinical Scenarios

Patients presenting with injuries from nontraffic collisions in parking lots or private property.

Billing Considerations

Ensure that the documentation reflects the nontraffic nature of the accident to avoid misclassification.

Trauma Surgery

Documentation Requirements

Detailed trauma assessments and operative notes should include the mechanism of injury and specifics about the vehicle collision.

Common Clinical Scenarios

Trauma cases involving passengers injured in pick-up trucks or vans during nontraffic incidents.

Billing Considerations

Accurate coding is critical for trauma registries and quality reporting; ensure all details are captured.

Coding Guidelines

Inclusion Criteria

Use V53.1 When
  • Follow the ICD
  • CM Official Guidelines for Coding and Reporting, particularly Section I
  • 19 for external cause codes
  • Ensure that the code is used in conjunction with the appropriate injury codes to provide a complete picture of the patient's condition

Exclusion Criteria

Do NOT use V53.1 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 nontraffic accident.

Documentation Requirements

Document the mechanism of injury, vital signs, and any treatments provided.

Specialty Considerations

Emergency medicine providers should ensure that the external cause code is linked to the visit.

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 strategies.

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 strategies.

Reimbursement & Billing Impact

reimbursement and compliance.

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 is the importance of accurately coding V53.1?

Accurate coding of V53.1 is essential for proper reimbursement, effective patient care, and injury prevention strategies. It helps in understanding the epidemiology of nontraffic accidents and informs public health initiatives.