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v1.0.0
ICD-10 Guide
ICD-10 CodesV56.7

V56.7

Billable

Person on outside of pick-up truck or van injured in collision with other nonmotor vehicle in traffic accident

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

Code Description

ICD-10 V56.7 is a billable code used to indicate a diagnosis of person on outside of pick-up truck or van injured in collision with other nonmotor vehicle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V56.7 is used to classify injuries sustained by individuals who are positioned on the exterior of a pick-up truck or van and are involved in a collision with a nonmotor vehicle, such as a bicycle, pedestrian, or animal, during a traffic accident. This code is particularly relevant in scenarios where the individual is not inside the vehicle, highlighting the increased risk of injury due to exposure and lack of protective barriers. Common injuries associated with this code may include fractures, lacerations, and traumatic brain injuries, depending on the nature of the collision and the speed of the vehicles involved. Accurate documentation of the circumstances surrounding the incident, including the type of nonmotor vehicle and the specific location of the injury, is essential for proper coding and subsequent treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact position of the injured person relative to the vehicle.
  • Identifying the type of nonmotor vehicle involved in the collision.
  • Documenting the circumstances of the accident accurately.
  • Differentiating between similar external cause codes.

Audit Risk Factors

  • Inadequate documentation of the accident details.
  • Misclassification of the type of vehicle involved.
  • Failure to specify the position of the injured person.
  • Inconsistent coding practices among different coders.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, the patient's position at the time of the accident, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with trauma after being struck while riding on the exterior of a vehicle, such as a pick-up truck or van.

Billing Considerations

Consideration should be given to the potential for multiple injuries and the need for comprehensive trauma assessments.

Trauma Surgery

Documentation Requirements

Trauma documentation must include detailed descriptions of injuries, surgical interventions, and the context of the accident.

Common Clinical Scenarios

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

Billing Considerations

Accurate coding is critical for trauma registries and quality reporting, necessitating thorough documentation of all findings.

Coding Guidelines

Inclusion Criteria

Use V56.7 When
  • According to ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code to provide a complete picture of the patient's condition
  • It is essential to report the external cause code to indicate the circumstances surrounding the injury

Exclusion Criteria

Do NOT use V56.7 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 significant injuries from a traffic accident.

Documentation Requirements

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

Specialty Considerations

Emergency medicine specialists should ensure that all relevant details are captured 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 accuracy and facilitating better 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 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 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

What should be documented to support the use of V56.7?

Documentation should include the specifics of the accident, including the position of the injured person, the type of nonmotor vehicle involved, and any injuries sustained. Clear descriptions of the circumstances surrounding the incident are crucial for accurate coding.