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v1.0.0
ICD-10 Guide
ICD-10 CodesV54.9

V54.9

Billable

Unspecified occupant 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 V54.9 is a billable code used to indicate a diagnosis of unspecified occupant 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 V54.9 is utilized to classify injuries sustained by unspecified occupants of pick-up trucks or vans involved in collisions with heavy transport vehicles or buses during traffic accidents. This code is particularly relevant in scenarios where the specific details of the occupant's role (e.g., driver, passenger) are not documented. It captures the external cause of morbidity and mortality related to vehicular accidents, which are a significant public health concern. The code is essential for tracking injury patterns, facilitating research on traffic safety, and informing public health interventions aimed at reducing road traffic injuries. Accurate coding requires comprehensive documentation of the incident, including the type of vehicles involved, the nature of the collision, and any contributing factors such as weather conditions or road hazards.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in occupant role (driver vs. passenger)
  • Variability in documentation quality
  • Need for precise details about the accident
  • Potential for misclassification with similar codes

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Failure to specify the occupant's role
  • Misuse of unspecified codes leading to potential denials
  • Inconsistent coding practices across different providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must clearly document the mechanism of injury, vehicle types, and occupant details.

Common Clinical Scenarios

Patients presenting with trauma from vehicular accidents, requiring immediate assessment and intervention.

Billing Considerations

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

Trauma Surgery

Documentation Requirements

Trauma registries should include comprehensive details about the incident, including the type of vehicles involved and the nature of injuries sustained.

Common Clinical Scenarios

Trauma cases involving multiple injuries from collisions, necessitating surgical intervention.

Billing Considerations

Accurate coding is critical for trauma outcomes analysis and resource allocation.

Coding Guidelines

Inclusion Criteria

Use V54.9 When
  • Follow the ICD
  • CM Official Guidelines for Coding and Reporting, ensuring that external cause codes are reported in conjunction with the appropriate injury codes
  • Document the circumstances surrounding the injury to support the use of V54

Exclusion Criteria

Do NOT use V54.9 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used for patients presenting with severe injuries from traffic accidents.

Documentation Requirements

Detailed documentation of the patient's condition and treatment provided.

Specialty Considerations

Emergency medicine specialists must ensure accurate coding to reflect the complexity of care.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, improving data accuracy for public health tracking and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, improving data accuracy for public health tracking and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, improving data accuracy for public health 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 V54.9?

Use V54.9 when documenting injuries to unspecified occupants of pick-up trucks or vans involved in collisions with heavy transport vehicles or buses, especially when the occupant's role is not clearly defined.