Wiki MVA coded as Collision with Other Nonmotor Vehicle??

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Code: V49.40XA
Driver injured in collision with unspecified motor vehicles in traffic accident, initial encounter

Block Notes
Car occupant injured in transport accident (V40-V49)
Includes: a four-wheeled motor vehicle designed primarily for carrying passengers
automobile (pulling a trailer or camper)
Excludes 1: bus (V50-V59)
minibus (V50-V59)
minivan (V50-V59)
motorcoach (V70-V79)
pick-up truck (V50-V59)
sport utility vehicle (SUV) (V50-V59)
Transport accidents (V00-V99)
Note: This section is structured in 12 groups. Those relating to land transport accidents (V00-V89) reflect the victim's mode of transport and are subdivided to identify the victim's 'counterpart' or the type of event. The vehicle of which the injured person is an occupant is identified in the first two characters since it is seen as the most important factor to identify for prevention purposes. A transport accident is one in which the vehicle involved must be moving or running or in use for transport purposes at the time of the accident.
Definitions related to transport accidents:
(a) A transport accident (V00-V99) is any accident involving a device designed primarily for, or used at the time primarily for, conveying persons or good from one place to another.
(b) A public highway [trafficway] or street is the entire width between property lines (or other boundary lines) of land open to the public as a matter of right or custom for purposes of moving persons or property from one place to another. A roadway is that part of the public highway designed, improved and customarily used for vehicular traffic.
(c) A traffic accident is any vehicle accident occurring on the public highway [i.e. originating on, terminating on, or involving a vehicle partially on the highway]. A vehicle accident is assumed to have occurred on the public highway unless another place is specified, except in the case of accidents involving only off-road motor vehicles, which are classified as nontraffic accidents unless the contrary is stated.
(d) A nontraffic accident is any vehicle accident that occurs entirely in any place other than a public highway.
(e) A pedestrian is any person involved in an accident who was not at the time of the accident riding in or on a motor vehicle, railway train, streetcar or animal-drawn or other vehicle, or on a pedal cycle or animal. This includes, a person changing a tire, working on a parked car, or a person on foot. It also includes the user of a pedestrian conveyance such as a babystroller, ice-skates, skis, sled, roller skates, a skateboard, nonmotorized or motorized wheelchair, motorized mobility scooter, or nonmotorized scooter.
(f) A driver is an occupant of a transport vehicle who is operating or intending to operate it.
(g) A passenger is any occupant of a transport vehicle other than the driver, except a person traveling on the outside of the vehicle.
(h) A person on the outside of a vehicle is any person being transported by a vehicle but not occupying the space normally reserved for the driver or passengers, or the space intended for the transport of property. This includes a person travelling on the bodywork, bumper, fender, roof, running board or step of a vehicle, as well as, hanging on the outside of the vehicle.
(i) A pedal cycle is any land transport vehicle operated solely by nonmotorized pedals including a bicycle or tricycle.
(j) A pedal cyclist is any person riding a pedal cycle or in a sidecar or trailer attached to a pedal cycle.
(k) A motorcycle is a two-wheeled motor vehicle with one or two riding saddles and sometimes with a third wheel for the support of a sidecar. The sidecar is considered part of the motorcycle. This includes a moped, motor scooter, or motorized bicycle.
(l) A motorcycle rider is any person riding a motorcycle or in a sidecar or trailer attached to the motorcycle.
(m) A three-wheeled motor vehicle is a motorized tricycle designed primarily for on-road use. This includes a motor-driven tricycle, a motorized rickshaw, or a three-wheeled motor car.
(n) A car [automobile] is a four-wheeled motor vehicle designed primarily for carrying up to 7 persons. A trailer being towed by the car is considered part of the car. It does not include a van or minivan - see definition (o)
(o) A pick-up truck or van is a four or six-wheeled motor vehicle designed for carrying passengers as well as property or cargo weighing less than the local limit for classification as a heavy goods vehicle, and not requiring a special driver's license. This includes a minivan and a sport-utility vehicle (SUV).
(p) A heavy transport vehicle is a motor vehicle designed primarily for carrying property, meeting local criteria for classification as a heavy goods vehicle in terms of weight and requiring a special driver's license.
(q) A bus (coach) is a motor vehicle designed or adapted primarily for carrying more than 10 passengers, and requiring a special driver's license.
(r) A railway train or railway vehicle is any device, with or without freight or passenger cars couple to it, designed for traffic on a railway track. This includes subterranean (subways) or elevated trains.
(s) A streetcar, is a device designed and used primarily for transporting passengers within a municipality, running on rails, usually subject to normal traffic control signals, and operated principally on a right-of-way that forms part of the roadway. This includes a tram or trolley that runs on rails. A trailer being towed by a streetcar is considered part of the streetcar.
(t) A special vehicle mainly used on industrial premises is a motor vehicle designed primarily for use within the buildings and premises of industrial or commercial establishments. This includes battery-powered airport passenger vehicles or baggage/mail trucks, forklifts, coal-cars in a coal mine, logging cars and trucks used in mines or quarries.
(u) A special vehicle mainly used in agriculture is a motor vehicle designed specifically for use in farming and agriculture (horticulture), to work the land, tend and harvest crops and transport materials on the farm. This includes harvesters, farm machinery and tractor and trailers.
(v) A special construction vehicle is a motor vehicle designed specifically for use on construction and demolition sites. This includes bulldozers, diggers, earth levellers, dump trucks. backhoes, front-end loaders, pavers, and mechanical shovels.
(w) A special all-terrain vehicle is a motor vehicle of special design to enable it to negotiate over rough or soft terrain , snow or sand. Examples of special design are high construction, special wheels and tires, tracks, and support on a cushion of air. This includes snow mobiles, All-terrain vehicles (ATV), and dune buggies. It does not include passenger vehicle designated as Sport Utility Vehicles. (SUV)
(x) A watercraft is any device designed for transporting passengers or goods on water. This includes motor or sail boats, ships, and hovercraft.
(y) An aircraft is any device for transporting passengers or goods in the air. This includes hot-air balloons, gliders, helicopters and airplanes.
(z) A military vehicle is any motorized vehicle operating on a public roadway owned by the military and being operated by a member of the military.
Use additional code to identify:
Airbag injury (W22.1)
Type of street or road (Y92.4-)
Use of cellular telephone and other electronic equipment at the time of the transport accident (Y93.C-)
Excludes 1: agricultural vehicles in stationary use or maintenance (W31.-)
assault by crashing of motor vehicle (Y03.-)
automobile or motor cycle in stationary use or maintenance- code to type of accident
crashing of motor vehicle, undetermined intent (Y32)
intentional self-harm by crashing of motor vehicle (X82)
Excludes 2: transport accidents due to cataclysm (X34-X38)

Coding Guidelines
External causes of morbidity (V00-Y99)
Note: 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.
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I have a patient with multiple injuries from an MVA and the narrative says "... patient was driving her car SB on (name of interstate) when she stuck another vehicle. Patient was a restrained driver and was not ejected from her car..."

There is no information as to what type of "vehicle" she ran into but I assumed that since it was on the highway, it had to be another 'motorized' vehicle, and went with V49.40XA Driver injured in collision with unspecified motor vehicles in traffic accident, initial encounter. Now I'm being told that I should have coded V46.5XXA Car driver injured in collision with other nonmotor vehicle in traffic accident, initial encounter instead. So now I'm trying to find the definition of a "nonmotor vehicle" as listed under V46- to figure out why that would be used in this case.

I'll take any thoughts or opinions on this one - I'm at a total loss.
 
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