Every year, motor-vehicle accidents impact millions of people worldwide, ranging from minor fender-benders to severe collisions. In many cases, patients arrive at emergency departments without being able to provide full details of the incident. This is where ICD-10 code V89.2XXA comes in.
Designed for situations where the specifics of a motor-vehicle accident are unknown, this code ensures that injuries are properly recorded, tracked, and billed. At HealthSure Hub, we help clinicians, coders, and healthcare administrators who aim to maintain accuracy in patient records and streamline the billing process with a complete analysis of this specific ICD-10 code.
What Is ICD-10-CM Code V89.2XXA?
ICD-10 code V89.2XXA is used to classify a person injured in an unspecified motor-vehicle traffic accident, where the exact circumstances, such as whether the patient was a driver, passenger, pedestrian, or other, are unknown. The “A” at the end of the code indicates that this is the initial encounter for treatment of the injury.
In simpler terms, this code allows healthcare professionals to document that a traffic-related injury occurred, even when specific details about the accident are unavailable. Its proper use ensures that patient records accurately reflect the event, which is crucial for ongoing care, follow-up treatments, and medical research.

Breakdown of the ICD-10-CM Code Structure
| Component | Meaning | Notes |
| V | External cause code | Indicates an external factor responsible for the injury |
| 89.2 | Specific classification | Person injured in unspecified motor-vehicle traffic accident |
| XX | Placeholder characters | Required to complete the code structure |
| A | Encounter type | Initial encounter for treatment of the injury |
Properly formatting the code, including the placeholder “X” characters, is essential. Even small errors can lead to claim denials or inaccurate medical records, which is why coders must adhere strictly to ICD-10-CM standards.
Common Scenarios Where V89.2XXA Is Used
This ICD-10 code is particularly applicable in situations such as:
- Unclear accident circumstances – The patient cannot recall details of the collision.
- Unknown vehicle type or accident role – It is not recorded whether the patient was a driver, passenger, or pedestrian.
- Emergency or urgent care encounters – Initial treatment is administered before accident reports or witness statements are available.
Using this code ensures that patient care is not delayed and that legal and insurance documentation is preserved even in incomplete data scenarios.
Common Injury Codes to Pair With V89.2XXA
In the U.S., traffic injury data reveals that there were an estimated 2,442,581 people injured in motor vehicle crashes in 2023 – a significant number of patients who would present with conditions requiring careful diagnosis and coding.
Fractures
| Example Injury | ICD-10-CM Injury Code |
| Femur fracture after unspecified traffic accident | S72.001A |
| Forearm fracture in a car accident | S52.501A |
| Cervical vertebra fracture in traffic collision | S12.001A |
| Wrist injury in motor-vehicle accident | S69.91XA |
Dislocations and Sprains
| Example Injury | ICD-10-CM Injury Code |
| Shoulder dislocation after a crash | S43.011A |
| Wrist sprain in motor-vehicle accident | S63.501A |
| Knee sprain after a collision | S83.91XA |
Traumatic Brain Injuries (TBI)
| Example Injury | ICD-10-CM Injury Code |
| Concussion after a car crash | S06.0X0A |
| Intracranial hemorrhage in motor-vehicle accident | S06.5X0A |
Motor‑vehicle accidents are a major public health issue globally and nationally. According to the World Health Organization, about 1.19 million people die each year in road crashes, and between 20 and 50 million more suffer non‑fatal injuries that can include fractures, neck and back pain, and traumatic brain injuries, all of which require medical coding for treatment, billing, and research. Pair pain codes with injury codes if the pain is related to a specific trauma or accident.
Importance of Accurate Documentation
Accurate coding is not just about billing—it impacts clinical care, legal protection, and public health reporting.
- For clinical care: Recognizing that an injury is traffic-related can guide monitoring for complications and inform rehabilitation plans.
- For legal and insurance purposes: Proper documentation protects both patients and providers in disputes, audits, or claims reviews.
- Best practices: Always pair V89.2XXA with specific injury codes. Document every known detail about the accident, even if incomplete.
Guidelines and Common Mistakes
Adhering to coding guidelines ensures proper use of the code:
- Use only when the accident type is unspecified.
- Avoid using this code for non-traffic-related accidents.
- Always include the “A” for initial encounter.
- Pair with injury-specific codes to avoid incomplete documentation.
Common Mistakes
- Omitting the “A” character.
Using V89.2XXA when a more specific motor-vehicle accident code is available. - Failing to combine it with relevant injury codes, which may result in claim denials.

Conclusion
ICD-10 code V89.2XXA plays a vital role in documenting unspecified traffic-related injuries when the details of a motor-vehicle accident are unclear. Using this code accurately not only supports effective patient care but also ensures proper billing, compliance, and reporting to public health authorities.
By pairing this ICD-10 with specific injury codes and following ICD-10-CM guidelines, healthcare providers and coders can maintain complete, reliable records, streamline insurance processing, and safeguard against legal or administrative issues.