ICD-10 V43.42
Non-Billable HeaderPerson boarding or alighting a car injured in collision with other type car
About ICD-10-CM V43.42
ICD-10-CM code V43.42 represents Person boarding or alighting a car injured in collision with other type car. This is a non-billable header code in the External Causes of Morbidity chapter (block V43). The 2026 edition of ICD-10-CM V43.42 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Medicare LCD Coverage for V43.42
Local Coverage Determinations (LCDs) from CMS MACs that list V43.42 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing V43.42.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but V43.42 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with V43.42
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To V43.42
Other codes in section V40-V49 (Car occupant injured in transport accident).
ICD-10 V43.42, Billing FAQ
Is ICD-10 code V43.42 billable? +
No, V43.42 is a non-billable header code. Use a more specific child code from block V43 when submitting claims.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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