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ICD-10 Guide
ICD-10 CodesV59.4

V59.4

Billable

Driver of pick-up truck or van injured in collision with other and unspecified motor vehicles in traffic accident

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

Code Description

ICD-10 V59.4 is a billable code used to indicate a diagnosis of driver of pick-up truck or van injured in collision with other and unspecified motor vehicles in traffic accident.

Key Diagnostic Point:

The ICD-10 code V59.4 is used to classify injuries sustained by the driver of a pick-up truck or van involved in a collision with other motor vehicles during a traffic accident. This code is crucial for capturing the external cause of morbidity and mortality related to vehicular accidents, which are a leading cause of injury and death worldwide. Accurate coding of such incidents is essential for public health data, resource allocation, and injury prevention strategies. The code encompasses a range of potential injuries, from minor to severe, and is often used in emergency departments and trauma centers. Documentation should include details about the circumstances of the accident, the type of vehicles involved, and the nature of the injuries sustained. This information is vital for understanding the impact of traffic accidents on public health and for developing targeted interventions to reduce such incidents.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation quality regarding the specifics of the accident.
  • Differentiating between types of vehicles involved in the collision.
  • Need for precise details about the nature of injuries sustained.
  • Potential for multiple external cause codes to be applicable.

Audit Risk Factors

  • Inadequate documentation of the accident circumstances.
  • Misclassification of vehicle types involved in the collision.
  • Failure to capture all relevant external cause codes.
  • Inconsistent coding practices among different coders.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, vehicle types, and patient condition upon arrival.

Common Clinical Scenarios

Patients presenting with trauma from vehicle collisions, including fractures, lacerations, and concussions.

Billing Considerations

Ensure that all relevant details of the accident are captured to support accurate coding.

Trauma Surgery

Documentation Requirements

Detailed trauma assessments, including injury patterns and surgical interventions.

Common Clinical Scenarios

Trauma cases involving significant injuries from vehicle collisions requiring surgical intervention.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use V59.4 When
  • Follow the ICD
  • CM Official Guidelines for Coding and Reporting, which emphasize the importance of capturing the external cause of injuries accurately
  • Ensure that the code is used in conjunction with appropriate injury codes to provide a complete picture of the patient's condition

Exclusion Criteria

Do NOT use V59.4 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 to the emergency department with injuries from a traffic accident.

Documentation Requirements

Document the nature of the injuries and the circumstances of the accident.

Specialty Considerations

Emergency medicine specialists should ensure comprehensive documentation to support the visit level.

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 and enabling better tracking of traffic accident-related injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, improving data accuracy and enabling better tracking of traffic accident-related injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, improving data accuracy and enabling better tracking of traffic accident-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 V59.4?

Use V59.4 when documenting injuries sustained by the driver of a pick-up truck or van involved in a collision with other motor vehicles during a traffic accident. Ensure that the documentation supports the use of this code.