The external causes of morbidity codes should never be sequenced as the first-listed or principal diagnosis. External cause codes are intended to provide data for injury research and evaluation of injury prevention strategies. These codes capture how the injury or health condition happened (cause), the intent (unintentional or accidental; or intentional, such as suicide or assault), the place where the event occurred the activity of the patient at the time of the event, and the person’s status (e.g., civilian, military). There is no national requirement for mandatory ICD-10-CM external cause code reporting. Unless a provider is subject to a state-based external cause code reporting mandate or these codes are required by a particular payer, reporting of ICD-10-CM codes in Chapter 20, External Causes of Morbidity, is not required. In the absence of a mandatory reporting requirement, providers are encouraged to voluntarily report external cause codes, as they provide valuable data for injury research and evaluation of injury prevention strategies.
V69.3
Occupant (driver) (passenger) of heavy transport vehicle injured in unspecified nontraffic accident
7th character 3
Instructional notes 3
- Accident NOS involving heavy transport vehicle, nontraffic
- Occupant of heavy transport vehicle injured in nontraffic accident NOS
- This chapter permits the classification of environmental events and circumstances as the cause of injury, and other adverse effects. Where a code from this section is applicable, it is intended that it shall be used secondary to a code from another chapter of the Classification indicating the nature of the condition. Most often, the condition will be classifiable to Chapter 19, Injury, poisoning and certain other consequences of external causes (S00-T88). Other conditions that may be stated to be due to external causes are classified in Chapters I to XVIII. For these conditions, codes from Chapter 20 should be used to provide additional information as to the cause of the condition.S00-T88
Official Guidelines 4 names this code
ICD-10-CM Official Guidelines for Coding and Reporting, quoted in full. Published by CMS and NCHS; in the public domain.
An external cause code may be used with any code in the range of A00.0-T88.9, Z00-Z99, classification that represents a health condition due to an external cause. Though they are most applicable to injuries, they are also valid for use with such things as infections or diseases due to an external source, and other health conditions, such as a heart attack that occurs during strenuous physical activity.
Assign the external cause code, with the appropriate 7 character (initial encounter, subsequent encounter or sequela) for each encounter for which the injury or condition is being treated. Most categories in chapter 20 have a 7 character requirement for each applicable code. Most categories in this chapter have three 7 character values: A, initial encounter, D, subsequent encounter and S, sequela. While the patient may be seen by a new or different provider over the course of treatment for an injury or condition, assignment of the 7 character for external cause should match the 7 character of the code assigned for the associated injury or condition for the encounter.
Use the full range of external cause codes to completely describe the cause, the intent, the place of occurrence, and if applicable, the activity of the patient at the time of the event, and the patient’s status, for all injuries, and other health conditions due to an external cause.
Index entries leading here 1
Alongside this code 8 same parent — V69
Additional references
Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.