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2025 ICD-10-CM code V49.49XD

Driver injured in collision with other motor vehicles in traffic accident, subsequent encounter.

Use V49.49XD as a secondary code to the code describing the injury itself (e.g., a fracture, concussion).

Medical necessity for this code is established by the fact that the patient is receiving active treatment for injuries sustained in a traffic accident where they were the driver of the car.

In simple words: The driver of a car was injured in a crash with another vehicle and this is a follow-up visit for that injury.

Driver injured in collision with other motor vehicles in traffic accident, subsequent encounter. This code describes a situation where the driver of a car, excluding motorcycles, was injured in a traffic accident involving a collision with other motor vehicles.This is a subsequent encounter, meaning the patient is receiving active treatment for the injury sustained in the accident.

Example 1: A patient presents to their physician's office for a follow-up appointment after being involved in a car accident a week prior. The patient was the driver of the car and collided with another vehicle. They are receiving ongoing treatment for whiplash and a fractured wrist.Code V49.49XD is used to document the external cause of the injuries., A patient is receiving physical therapy for a leg injury sustained when they were driving a car that collided with another car. This is their third physical therapy session.Code V49.49XD is appropriate for this subsequent encounter related to the accident., A patient was the driver in a multiple vehicle collision.They are being seen in the emergency department for the second time for persistent headaches and dizziness since the initial visit after the accident. V49.49XD captures that this is a subsequent encounter for injuries sustained in a car accident where they were the driver.

Documentation should clearly indicate that the patient was the driver of the car involved in the collision.The date of the initial accident, details of the accident (e.g., collision with another motor vehicle), and the injuries sustained should be documented. Subsequent encounter documentation should reflect the ongoing treatment for injuries related to the accident.

** The 'XD' in the code signifies that this is a subsequent encounter. This code should not be used for the initial encounter for the accident.If the accident occurred due to an assault, different codes apply (Y03.-).This code should also not be used if the crash was due to intentional self-harm (X82) or an undetermined intent (Y32).

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