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v1.0.0
ICD-10 Guide
ICD-10 CodesV56.9

V56.9

Billable

Unspecified occupant 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 V56.9 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 traffic accident.

Key Diagnostic Point:

The ICD-10 code V56.9 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, such as a pedestrian, bicycle, or animal, during a traffic accident. This code is essential for capturing data related to external causes of morbidity and mortality, particularly in traffic-related incidents. Accurate coding is crucial for public health surveillance, resource allocation, and injury prevention strategies. The code is often utilized in emergency departments and trauma centers where patients present with injuries resulting from such collisions. Documentation should include details about the circumstances of the accident, the type of nonmotor vehicle involved, and the nature of the injuries sustained. This code is particularly relevant in studies assessing the impact of traffic safety measures and the effectiveness of interventions aimed at reducing pedestrian and cyclist injuries.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in documentation regarding the type of occupant (driver vs. passenger)
  • Variability in the description of the nonmotor vehicle involved
  • Need for precise details about the accident circumstances
  • Potential overlap with other external cause codes

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Misclassification of the type of vehicle involved
  • Failure to specify the occupant's role (driver or passenger)
  • Inconsistent coding practices across different providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, the type of nonmotor vehicle involved, and the patient's condition upon arrival.

Common Clinical Scenarios

Patients presenting with fractures, lacerations, or concussions after being struck by a bicycle or pedestrian.

Billing Considerations

Ensure that the medical record clearly indicates the circumstances of the collision to support the use of V56.9.

Trauma Surgery

Documentation Requirements

Trauma documentation should include detailed descriptions of the injuries sustained, the mechanism of injury, and any surgical interventions performed.

Common Clinical Scenarios

Trauma patients with multiple injuries from a collision with a nonmotor vehicle requiring surgical intervention.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use V56.9 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used in conjunction with appropriate injury codes
  • Document the external cause of injury in the medical record to support the use of V56

Exclusion Criteria

Do NOT use V56.9 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 collision.

Documentation Requirements

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

Specialty Considerations

Emergency medicine providers should ensure that the visit level reflects 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 accuracy for public health and safety initiatives. V56.9 provides a means to capture data on nonmotor vehicle collisions, which is critical for understanding 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 for public health and safety initiatives. V56.9 provides a means to capture data on nonmotor vehicle collisions, which is critical for understanding 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 for public health and safety initiatives. V56.9 provides a means to capture data on nonmotor vehicle collisions, which is critical for understanding 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

When should I use V56.9?

Use V56.9 when documenting injuries sustained by an unspecified occupant of a pick-up truck or van involved in a collision with a nonmotor vehicle, ensuring that the circumstances of the accident are clearly documented.