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ICD-10 Guide
ICD-10 CodesV53.4

V53.4

Billable

Person boarding or alighting a pick-up truck or van injured in collision with car, pick-up truck or van

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

Code Description

ICD-10 V53.4 is a billable code used to indicate a diagnosis of person boarding or alighting a pick-up truck or van injured in collision with car, pick-up truck or van.

Key Diagnostic Point:

The ICD-10 code V53.4 is utilized to classify injuries sustained by individuals who are boarding or alighting from a pick-up truck or van and are subsequently involved in a collision with another vehicle, such as a car, pick-up truck, or van. This code is particularly relevant in the context of external causes of morbidity and mortality, as it captures the circumstances surrounding the injury, which is crucial for public health data analysis and injury prevention strategies. The code is applicable in various scenarios, including urban settings where pedestrian traffic is high, and in rural areas where pick-up trucks are commonly used for transportation. Accurate coding of such incidents helps in understanding the patterns of vehicular accidents and can inform safety regulations and community health initiatives aimed at reducing similar injuries in the future.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact circumstances of the injury (boarding vs. alighting)
  • Differentiating between types of vehicles involved in the collision
  • Ensuring accurate documentation of the external cause of injury
  • Potential overlap with other external cause codes

Audit Risk Factors

  • Inadequate documentation of the incident details
  • Misclassification of the type of vehicle involved
  • Failure to specify whether the person was boarding or alighting
  • Inconsistent use of external cause codes across different encounters

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, including the type of vehicle and the actions of the patient (boarding or alighting).

Common Clinical Scenarios

Patients presenting with trauma after being struck while boarding or alighting from a vehicle.

Billing Considerations

Emergency providers should ensure that the mechanism of injury is well-documented to support accurate coding.

Trauma Surgery

Documentation Requirements

Trauma documentation must include details of the injury mechanism, including the type of collision and the patient's actions at the time of injury.

Common Clinical Scenarios

Trauma cases involving significant injuries from vehicular collisions.

Billing Considerations

Trauma surgeons should be aware of the importance of external cause coding for injury prevention research.

Coding Guidelines

Inclusion Criteria

Use V53.4 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to document the circumstances of the injury thoroughly to support the use of V53

Exclusion Criteria

Do NOT use V53.4 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 vehicular collision.

Documentation Requirements

Documentation must include the mechanism of injury and any treatments provided.

Specialty Considerations

Emergency medicine providers should ensure that the external cause 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 those related to vehicular incidents. 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 those related to vehicular incidents. 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 those related to vehicular incidents. 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 should be documented to support the use of V53.4?

Documentation should include the type of vehicle involved, whether the patient was boarding or alighting, and the circumstances of the collision.