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v1.0.0
ICD-10 Guide
ICD-10 CodesV56.3

V56.3

Billable

Unspecified occupant of pick-up truck or van injured in collision with other nonmotor vehicle in nontraffic accident

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

Code Description

ICD-10 V56.3 is a billable code used to indicate a diagnosis of unspecified occupant of pick-up truck or van injured in collision with other nonmotor vehicle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V56.3 is used to classify injuries sustained by an unspecified occupant of a pick-up truck or van involved in a collision with a nonmotor vehicle during a nontraffic accident. This code is particularly relevant in scenarios where the vehicle is not in motion on a public roadway, such as in parking lots, private property, or during off-road activities. Common injuries may include fractures, contusions, or lacerations resulting from the impact. Accurate coding requires detailed documentation of the circumstances surrounding the incident, including the type of nonmotor vehicle involved (e.g., bicycle, pedestrian) and the specific location of the accident. This code is essential for tracking injury patterns and understanding the epidemiology of nontraffic-related vehicle accidents, which can inform public health initiatives and safety regulations.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in documentation regarding the specifics of the accident.
  • Variability in the definition of 'nonmotor vehicle' which may lead to misclassification.
  • Need for precise details about the accident location and circumstances.
  • Potential overlap with other external cause codes that may apply.

Audit Risk Factors

  • Insufficient detail in medical records to support the use of this code.
  • Inconsistent coding practices leading to potential upcoding or downcoding.
  • Failure to document the type of nonmotor vehicle involved.
  • Lack of clarity regarding the accident's location and circumstances.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must clearly describe the mechanism of injury, including details about the nonmotor vehicle and the circumstances of the collision.

Common Clinical Scenarios

Patients presenting with injuries after being struck by a bicycle while parked or during a recreational activity involving a pick-up truck.

Billing Considerations

Emergency physicians should ensure that all relevant details are captured in the medical record to support accurate coding.

Trauma Surgery

Documentation Requirements

Trauma documentation should include a thorough account of the injury mechanism, including the type of nonmotor vehicle and the impact details.

Common Clinical Scenarios

Trauma cases involving occupants of pick-up trucks or vans who have sustained injuries from collisions with pedestrians or bicycles.

Billing Considerations

Trauma surgeons must be diligent in documenting the specifics of the incident to avoid coding discrepancies.

Coding Guidelines

Inclusion Criteria

Use V56.3 When
  • Coders should refer to the official ICD
  • CM coding guidelines, ensuring that the external cause codes are sequenced correctly and that the primary diagnosis is clearly documented
  • It is essential to capture the full context of the injury to support the use of V56

Exclusion Criteria

Do NOT use V56.3 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 with injuries from a nontraffic accident.

Documentation Requirements

Documentation must support the level of service and include details of the injury mechanism.

Specialty Considerations

Emergency medicine specialists should ensure that the visit is coded accurately based on the complexity of the case.

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 public health initiatives. V56.3 provides a clear classification for nontraffic accidents involving pick-up trucks and vans.

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 public health initiatives. V56.3 provides a clear classification for nontraffic accidents involving pick-up trucks and vans.

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 public health initiatives. V56.3 provides a clear classification for nontraffic accidents involving pick-up trucks and vans.

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 V56.3?

Use V56.3 when documenting injuries to an unspecified occupant of a pick-up truck or van involved in a collision with a nonmotor vehicle during a nontraffic accident. Ensure that the medical record provides sufficient detail to support this coding.