ICD-10 Coding for Motor Vehicle Collision(V43.5XXA, S06.0X0A)
Complete ICD-10-CM coding and documentation guide for Motor Vehicle Collision. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Motor Vehicle Collision
V40-V49Primary Range
Car occupant injured in transport accident
This range includes codes for injuries sustained by car occupants in various types of transport accidents.
Injuries to specific body regions
This range includes codes for specific injuries that may occur as a result of a motor vehicle collision.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| V43.5XXA | Car driver injured in collision with fixed or stationary object, initial encounter | Use when documenting an initial encounter for a car driver injured in a collision with a fixed object. |
|
| S06.0X0A | Concussion without loss of consciousness, initial encounter | Use for initial encounters where a concussion is diagnosed without loss of consciousness. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for motor vehicle collision
Essential facts and insights about Motor Vehicle Collision
Primary ICD-10-CM Codes for motor vehicle collision
Decision Criteria
documentation Criteria
- Document the role of the patient and the nature of the collision.
Applicable To
- Driver of car
- Collision with stationary object
Excludes
- Motorcycle rider
- Pedestrian
Clinical Validation Requirements
- Documentation of the driver role
- Details of the collision with a stationary object
Code-Specific Risks
- Omitting the role of the patient as the driver
- Failing to specify the type of object collided with
Coding Notes
- Ensure the encounter type is clearly documented as initial, subsequent, or sequela.
S06.0X0A - Concussion without loss of consciousness, initial encounter
Use for initial encounters where a concussion is diagnosed without loss of consciousness.
Applicable To
- Mild traumatic brain injury
Excludes
- Concussion with loss of consciousness
Clinical Validation Requirements
- Clinical assessment confirming concussion
- Absence of loss of consciousness
Coding Notes
Ensure documentation clearly states the absence of loss of consciousness.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Motor Vehicle Collision to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code V43.5XXA.
Impact
Clinical: Leads to incorrect treatment planning., Regulatory: Non-compliance with ICD-10 coding rules., Financial: Potential claim denials or reduced reimbursement.
Mitigation Strategy
Always specify if the encounter is initial, subsequent, or sequela., Use templates that prompt for encounter type.
Impact
Reimbursement: May lead to reduced reimbursement due to lack of specificity., Compliance: Increases risk of audit and non-compliance with coding standards., Data Quality: Decreases the accuracy and utility of health data.
Mitigation Strategy
Always document and code the specific details of the collision and injuries.
Impact
High risk of audit if external cause codes are not specific.
Mitigation Strategy
Ensure detailed documentation of the accident circumstances.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Motor Vehicle Collision, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Motor Vehicle Collision
Use these documentation templates to ensure complete and accurate documentation for Motor Vehicle Collision. These templates include all required elements for proper coding and billing.
Initial encounter for MVC
Specialty: Emergency MedicineRequired Elements
- Patient role (driver/passenger)
- Type of vehicle
- Nature of collision
- Injuries sustained
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Motor Vehicle Collision? Ask your questions below.