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ICD-10 Guide
ICD-10 CodesV53.6

V53.6

Billable

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

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

Code Description

ICD-10 V53.6 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 traffic accident.

Key Diagnostic Point:

The ICD-10 code V53.6 is used to classify injuries sustained by passengers in pick-up trucks or vans involved in collisions with other vehicles, specifically cars, during traffic accidents. This code is essential for capturing the external cause of morbidity and mortality related to vehicular accidents, which are a significant public health concern. Accurate coding of such incidents helps in understanding the epidemiology of traffic-related injuries, facilitating targeted interventions and resource allocation for injury prevention. In clinical practice, this code is typically applied when a patient presents with injuries resulting from a traffic collision where they were a passenger in a pick-up truck or van. Documentation should include details about the nature of the accident, the type of vehicle involved, and the specific injuries sustained to ensure proper coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident details.
  • Differentiation between types of vehicles involved.
  • Potential for multiple injuries requiring additional codes.
  • Variability in state laws regarding reporting traffic accidents.

Audit Risk Factors

  • Inadequate documentation of the accident circumstances.
  • Failure to specify the type of vehicle involved.
  • Incorrect assignment of codes for injuries not related to the accident.
  • Lack of clarity on the passenger's role in the accident.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, vehicle types, and patient condition upon arrival.

Common Clinical Scenarios

Patients presenting with fractures, lacerations, or concussions following a traffic accident.

Billing Considerations

Ensure that all injuries are documented and coded, including those that may not seem directly related to the collision.

Trauma Surgery

Documentation Requirements

Detailed trauma assessments and surgical notes are required to capture all injuries accurately.

Common Clinical Scenarios

Trauma patients requiring surgical intervention due to severe injuries from a traffic collision.

Billing Considerations

Consider the mechanism of injury when coding, as it may influence treatment and outcomes.

Coding Guidelines

Inclusion Criteria

Use V53.6 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to report the external cause code to provide context for the injury and to comply with coding regulations

Exclusion Criteria

Do NOT use V53.6 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 after a traffic accident.

Documentation Requirements

Document the patient's condition, treatment provided, and any referrals made.

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 accuracy and facilitating better public health 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 facilitating better public health 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 facilitating better public health 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

When should I use V53.6?

Use V53.6 when coding for injuries sustained by a passenger in a pick-up truck or van involved in a collision with another vehicle, specifically in traffic accidents.