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v1.0.0
ICD-10 Guide
ICD-10 CodesV54.5

V54.5

Billable

Driver of pick-up truck or van injured in collision with heavy transport vehicle or bus in traffic accident

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

Code Description

ICD-10 V54.5 is a billable code used to indicate a diagnosis of driver of pick-up truck or van injured in collision with heavy transport vehicle or bus in traffic accident.

Key Diagnostic Point:

The ICD-10 code V54.5 is used to classify injuries sustained by the driver of a pick-up truck or van involved in a collision with a heavy transport vehicle or bus during a traffic accident. This code is crucial for capturing the external cause of morbidity and mortality related to vehicular accidents, particularly those involving larger vehicles that can result in severe injuries due to their size and weight. Clinical scenarios may include head-on collisions, side impacts, or rear-end collisions where the driver of the smaller vehicle suffers injuries ranging from minor to life-threatening. Accurate coding of this incident is essential for public health data collection, insurance claims, and understanding the epidemiology of traffic-related injuries. Documentation should include details about the accident circumstances, the type of vehicles involved, and the nature of the injuries sustained to ensure proper coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for detailed accident descriptions to justify the code.
  • Variability in injury severity and types of injuries sustained.
  • Potential for multiple external cause codes to be applicable.
  • Documentation must clearly link the injury to the external cause.

Audit Risk Factors

  • Inadequate documentation linking the injury to the specific vehicle type.
  • Failure to capture all relevant external cause codes for the incident.
  • Misclassification of the type of vehicle involved in the accident.
  • Inconsistent reporting of accident details across different medical records.

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 trauma from vehicular accidents, including fractures, lacerations, and concussions.

Billing Considerations

Ensure that all relevant details of the accident are captured in the medical record to support coding.

Trauma Surgery

Documentation Requirements

Trauma surgeons should document the extent of injuries, surgical interventions, and the mechanism of injury in detail.

Common Clinical Scenarios

Trauma cases involving significant injuries from collisions, requiring surgical intervention.

Billing Considerations

Accurate coding is critical for trauma registries and quality improvement initiatives.

Coding Guidelines

Inclusion Criteria

Use V54.5 When
  • According to the ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • The external cause code should be reported in the secondary position to the injury code
  • It is essential to capture the full context of the accident, including the location and circumstances

Exclusion Criteria

Do NOT use V54.5 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99285CPT Code

Emergency department visit, high severity

Clinical Scenario

Used for patients presenting with severe injuries from traffic accidents.

Documentation Requirements

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

Specialty Considerations

Emergency medicine providers should ensure that the visit is justified based on the severity of the injuries.

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, improving data accuracy for traffic-related injuries. V54.5 provides a clear classification for injuries sustained in collisions with heavy vehicles, enhancing epidemiological tracking and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy for traffic-related injuries. V54.5 provides a clear classification for injuries sustained in collisions with heavy vehicles, enhancing epidemiological tracking and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy for traffic-related injuries. V54.5 provides a clear classification for injuries sustained in collisions with heavy vehicles, enhancing epidemiological tracking and resource allocation.

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 V54.5?

Use V54.5 when coding for injuries sustained by the driver of a pick-up truck or van involved in a collision with a heavy transport vehicle or bus during a traffic accident. Ensure that the injury is documented and linked appropriately.