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v1.0.0
ICD-10 Guide
ICD-10 CodesV59.6

V59.6

Billable

Unspecified occupant 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 V59.6 is a billable code used to indicate a diagnosis of unspecified occupant 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 V59.6 is used to classify injuries sustained by unspecified occupants of pick-up trucks or vans involved in collisions with other motor vehicles during traffic accidents. This code is particularly relevant in cases where the specific details of the occupant's role (driver or passenger) are not documented, or when the nature of the injury is not specified. It captures a significant aspect of road traffic injuries, which are a leading cause of morbidity and mortality worldwide. Accurate coding is essential for public health data collection, resource allocation, and injury prevention strategies. In clinical practice, this code may be used in emergency departments, trauma centers, and outpatient settings where patients present with injuries resulting from vehicular accidents. Proper documentation of the circumstances surrounding the accident, including the type of vehicle and the nature of the injuries, is crucial for accurate coding and subsequent treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Lack of specificity regarding the occupant's role (driver vs. passenger)
  • Variability in documentation practices among providers
  • Potential for misclassification if details are not clearly recorded
  • Need for comprehensive understanding of external cause coding guidelines

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Failure to specify the type of vehicle involved
  • Misuse of unspecified codes leading to potential denials
  • Inconsistent coding practices across different providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, vehicle type, and occupant role to ensure accurate coding.

Common Clinical Scenarios

Patients presenting with trauma from vehicular accidents, including fractures, lacerations, and concussions.

Billing Considerations

Emergency providers should ensure that all relevant details are captured in the medical record to support the use of V59.6.

Trauma Surgery

Documentation Requirements

Trauma documentation should include detailed descriptions of injuries, mechanisms of injury, and any pre-existing conditions.

Common Clinical Scenarios

Trauma cases involving multiple injuries from a traffic accident, requiring surgical intervention.

Billing Considerations

Trauma surgeons should be aware of the importance of specifying the type of vehicle and occupant role to avoid coding errors.

Coding Guidelines

Inclusion Criteria

Use V59.6 When
  • According to ICD
  • 10 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, including the type of vehicle and the role of the occupant
  • Codes should be sequenced correctly, with the injury code listed first, followed by the external cause code

Exclusion Criteria

Do NOT use V59.6 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 serious injuries from a traffic accident.

Documentation Requirements

Detailed documentation of the patient's condition and treatment plan.

Specialty Considerations

Emergency medicine providers should ensure that all relevant details of the accident are captured.

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 the ability to track and analyze traffic-related injuries. V59.6 provides a mechanism for capturing unspecified occupant injuries, which can inform public health initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, improving the ability to track and analyze traffic-related injuries. V59.6 provides a mechanism for capturing unspecified occupant injuries, which can inform public health initiatives.

Reimbursement & Billing Impact

reimbursement and compliance.

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 V59.6?

Use V59.6 when documenting injuries sustained by unspecified occupants of pick-up trucks or vans involved in traffic accidents, particularly when the specifics of the occupant's role are not clearly documented.