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v1.0.0
ICD-10 Guide
ICD-10 CodesV54.7

V54.7

Billable

Person on outside 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 V54.7 is a billable code used to indicate a diagnosis of person on outside 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 V54.7 is used to classify injuries sustained by individuals who are positioned on the exterior of a pick-up truck or van during a collision with a heavy transport vehicle or bus. This scenario typically occurs in traffic accidents where the individual is not secured inside the vehicle, leading to a higher risk of severe injuries. Common injuries may include fractures, lacerations, and traumatic brain injuries due to the impact. Accurate coding of this external cause is crucial for understanding the epidemiology of traffic-related injuries and for implementing preventive measures. Documentation should include details about the circumstances of the accident, the position of the injured person, and the type of vehicles involved to ensure proper coding and analysis of injury patterns.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident scenario
  • Differentiation between various types of vehicles involved
  • Understanding of external cause coding guidelines
  • Potential for multiple injuries requiring additional codes

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Misclassification of vehicle types involved
  • Failure to capture all injuries sustained
  • Inconsistent coding practices among coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly describe the mechanism of injury, including the position of the patient and the vehicles involved.

Common Clinical Scenarios

Patients presenting with trauma after being struck while on the exterior of a vehicle.

Billing Considerations

Ensure that all injuries are documented, as multiple codes may be necessary for comprehensive reporting.

Trauma Surgery

Documentation Requirements

Operative reports must detail the injuries sustained and the circumstances of the accident to support the external cause code.

Common Clinical Scenarios

Trauma cases involving severe injuries from traffic accidents where the patient was outside the vehicle.

Billing Considerations

Consider the need for additional codes to capture all injuries and the mechanism of injury.

Coding Guidelines

Inclusion Criteria

Use V54.7 When
  • Follow the ICD
  • CM Official Guidelines for Coding and Reporting, particularly Section I
  • 19 for external cause codes
  • Ensure that the external cause code is reported in conjunction with the appropriate injury codes

Exclusion Criteria

Do NOT use V54.7 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a patient presents with severe injuries from a traffic accident.

Documentation Requirements

Detailed documentation of the patient's condition and the mechanism of injury.

Specialty Considerations

Emergency medicine providers should ensure thorough documentation to support the level of service billed.

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 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 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 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 documentation is needed to support the use of V54.7?

Documentation should include details about the accident, the position of the injured person, the type of vehicles involved, and any injuries sustained. This ensures accurate coding and supports the medical necessity of the services provided.