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2025 ICD-10-CM code V66

Occupant of heavy transport vehicle injured in collision with other nonmotor vehicle. Includes: collision with animal-drawn vehicle, animal being ridden, streetcar.

Code V66 should be used as a secondary code to a code from another chapter that describes the nature of the injury.It should not be used for accidents involving buses or motor coaches.

The medical necessity for using V66 is to accurately classify the circumstances surrounding the injury and provide additional information about the external cause of the injuries sustained by the occupant of the heavy transport vehicle.

The clinical responsibility for a patient injured in a transport accident, as described by code V66, typically falls upon the emergency medical services personnel who initially attend to the patient at the scene and the physicians and other healthcare professionals who subsequently provide care in a hospital or other healthcare setting. This can include emergency medicine physicians, trauma surgeons, orthopedists, neurologists, and other specialists depending on the specific nature of the injuries sustained.The clinical responsibility encompasses the initial assessment, stabilization, diagnosis, treatment, and ongoing management of the patient's injuries.

In simple words: A person was injured while occupying a heavy transport vehicle (like an 18-wheeler, armored car, or panel truck) when it collided with another vehicle that was not a motor vehicle (e.g., a bicycle, horse-drawn carriage, or streetcar).

Occupant of heavy transport vehicle injured in collision with other nonmotor vehicle.Includes collisions with: animal-drawn vehicles, animals being ridden, and streetcars. Excludes: buses and motor coaches.

Example 1: A truck driver is injured when their 18-wheeler collides with a horse-drawn carriage., A passenger in an armored car sustains injuries when the vehicle hits a streetcar., An occupant of a panel truck is injured in a collision with a bicyclist.

Documentation for V66 should clearly indicate that the injured person was an occupant of a heavy transport vehicle at the time of the accident, and specify the type of nonmotor vehicle involved in the collision. Additional documentation should detail the nature and extent of injuries sustained.

** Use additional codes to identify airbag injury (W22.1) and type of street or road (Y92.4-).Also, consider using codes to document use of cellular telephone and other electronic equipment at the time of the accident (Y93.C-).

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