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ICD-10 Guide
ICD-10 CodesV59.20

V59.20

Billable

Unspecified occupant of pick-up truck or van injured in collision with unspecified motor vehicles in nontraffic accident

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

Code Description

ICD-10 V59.20 is a billable code used to indicate a diagnosis of unspecified occupant of pick-up truck or van injured in collision with unspecified motor vehicles in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V59.20 is used to classify injuries sustained by an unspecified occupant of a pick-up truck or van involved in a collision with unspecified motor vehicles during a nontraffic accident. Nontraffic accidents can occur in various settings, such as parking lots, private property, or during off-road activities. This code is particularly relevant for documenting injuries that do not occur on public roadways, which can include incidents like collisions in driveways or during recreational activities. Accurate coding is essential for understanding the epidemiology of injuries, facilitating appropriate treatment, and ensuring proper reimbursement. Coders must ensure that the documentation clearly indicates the nature of the accident and the circumstances surrounding the injury to support the use of this code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in documentation regarding the specifics of the accident.
  • Lack of detailed information about the type of vehicle involved.
  • Variability in defining what constitutes a nontraffic accident.
  • Potential overlap with other external cause codes.

Audit Risk Factors

  • Inadequate documentation supporting the unspecified nature of the accident.
  • Failure to specify the location of the accident.
  • Misclassification of the accident type (traffic vs. nontraffic).
  • Inconsistent use of external cause codes across different encounters.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must clearly describe the mechanism of injury, the type of vehicle involved, and the circumstances of the accident.

Common Clinical Scenarios

Patients presenting with injuries from collisions in parking lots or during recreational activities involving pick-up trucks or vans.

Billing Considerations

Coders should ensure that the documentation supports the use of unspecified codes and that all relevant details are captured.

Trauma Surgery

Documentation Requirements

Trauma notes should include detailed descriptions of the injury mechanism, including vehicle type and accident specifics.

Common Clinical Scenarios

Trauma cases involving occupants of pick-up trucks or vans injured in nontraffic settings.

Billing Considerations

Accurate coding is crucial for trauma registries and for understanding injury patterns in nontraffic accidents.

Coding Guidelines

Inclusion Criteria

Use V59.20 When
  • According to the ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is essential to document the circumstances of the injury clearly, including the type of vehicle and the location of the accident

Exclusion Criteria

Do NOT use V59.20 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 provided, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine specialists should ensure that the visit is appropriately coded 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 detailed coding of external causes of injuries, including the ability to specify nontraffic accidents. This has improved data collection and analysis for public health and injury prevention efforts.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, including the ability to specify nontraffic accidents. This has improved data collection and analysis for public health and injury prevention efforts.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, including the ability to specify nontraffic accidents. This has improved data collection and analysis for public health and injury prevention efforts.

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 I document to support the use of V59.20?

You should document the specifics of the accident, including the type of vehicle involved, the location of the accident, and any relevant details about how the injury occurred.