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ICD-10 Guide
ICD-10 CodesV59.49

V59.49

Billable

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

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

Code Description

ICD-10 V59.49 is a billable code used to indicate a diagnosis of driver of pick-up truck or van injured in collision with other motor vehicles in traffic accident.

Key Diagnostic Point:

The ICD-10 code V59.49 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 essential for capturing the external cause of morbidity and mortality related to vehicular accidents, which are a significant public health concern. Accurate coding of such incidents helps in understanding the epidemiology of traffic-related injuries, facilitating targeted interventions and resource allocation. The code is applicable in scenarios where the driver is injured due to the collision, regardless of the severity of the injuries sustained. Documentation should include details about the circumstances of the accident, the type of vehicles involved, and the nature of the injuries to ensure proper coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident details.
  • Differentiation between various types of vehicles involved.
  • Understanding of the context of the accident (e.g., urban vs. rural).
  • Potential for multiple external cause codes to be applicable.

Audit Risk Factors

  • Inadequate documentation of the accident circumstances.
  • Failure to specify the type of vehicle involved.
  • Incorrect assignment of codes for injuries not directly related to the collision.
  • Use of outdated or incorrect coding guidelines.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include details of the accident, mechanism of injury, and initial assessment findings.

Common Clinical Scenarios

Patients presenting with trauma after a vehicular collision, requiring immediate intervention.

Billing Considerations

Ensure that all injuries are documented, including those that may not be immediately apparent.

Trauma Surgery

Documentation Requirements

Comprehensive trauma assessments and surgical notes detailing the injuries and interventions performed.

Common Clinical Scenarios

Patients requiring surgical intervention due to severe injuries from a traffic accident.

Billing Considerations

Accurate coding of all injuries and associated external cause codes is critical for trauma registry data.

Coding Guidelines

Inclusion Criteria

Use V59.49 When
  • Follow the ICD
  • CM coding guidelines, ensuring that the external cause code is reported in conjunction with the appropriate injury codes
  • The external cause code should be sequenced after the injury code(s) to reflect the cause of the injury accurately

Exclusion Criteria

Do NOT use V59.49 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used for patients presenting with injuries from a traffic accident.

Documentation Requirements

Document the nature of the injuries and the treatment provided.

Specialty Considerations

Emergency medicine specialists should ensure thorough documentation of the patient's condition.

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 facilitating better public health responses to traffic accidents.

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 facilitating better public health responses to traffic accidents.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, improving data accuracy and facilitating better public health responses to traffic accidents.

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 V59.49?

Use V59.49 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 circumstances of the accident are well-documented.