V01-V04
Medium Complexity
Pedestrian injured in transport accident
Primary Specialty: Emergency Medicine
Last Updated: 2025-09-09
ICD-10 Codes (75)
72 billable0 category headers
V02V02.0Billable
V02.00Billable
V02.01Billable
V02.02Billable
V02.03Billable
V02.031Billable
V02.038Billable
V02.09Billable
V02.1Billable
V02.10Billable
V02.11Billable
V02.12Billable
V02.13Billable
V02.131Billable
V02.138Billable
V02.19Billable
V02.9Billable
V02.90Billable
V02.91Billable
V02.92Billable
V02.93Billable
V02.931Billable
V02.938Billable
V02.99Billable
V03V03.0Billable
V03.00Billable
V03.01Billable
V03.02Billable
V03.03Billable
V03.031Billable
V03.038Billable
V03.09Billable
V03.1Billable
V03.10Billable
V03.11Billable
V03.12Billable
V03.13Billable
V03.131Billable
V03.138Billable
V03.19Billable
V03.9Billable
V03.90Billable
V03.91Billable
V03.92Billable
V03.93Billable
V03.931Billable
V03.938Billable
V03.99Billable
V04V04.0Billable
V04.00Billable
V04.01Billable
V04.02Billable
V04.03Billable
V04.031Billable
V04.038Billable
V04.09Billable
V04.1Billable
V04.10Billable
V04.11Billable
V04.12Billable
V04.13Billable
V04.131Billable
V04.138Billable
V04.19Billable
V04.9Billable
V04.90Billable
V04.91Billable
V04.92Billable
V04.93Billable
V04.931Billable
V04.938Billable
V04.99Billable
Updates & Changes
FY 2026 Updates
Current Year
Deleted Codes
No codes deleted in this range for FY 2026
No significant changes for FY 2026
This range maintains stability with current coding practices
Historical Changes
- •FY 2025: Routine maintenance updates with minor terminology clarifications
- •FY 2024: Enhanced specificity requirements for certain code ranges
- •FY 2023: Updated documentation guidelines for improved clarity
Upcoming Changes
- •Proposed updates pending review by Coordination and Maintenance Committee
- •Under consideration: Enhanced digital health integration codes
Implementation Guidance
- •Review all FY 2026 updates for V01-V04 codes before implementation
- •Always verify the most current codes in the ICD-10-CM manual
- •Ensure clinical documentation supports the selected diagnosis codes
- +3 more guidance items...
Range Overview
high priority
The ICD-10 code range V01-V04 pertains to pedestrians injured in transport accidents. These codes are used to document incidents where a pedestrian is injured due to a collision with a vehicle, train, or other forms of transport. The codes differentiate between various types of transport and the nature of the pedestrian's involvement.
Key Usage Points:
- •Always code the highest level of specificity available based on the medical record.
- •Include additional codes to identify any associated injuries.
- •Use additional code, where applicable, to identify alcohol, drug involvement and blood alcohol level.
- •Assign a separate code for each injury unless a combination code is provided.
- •Use external cause codes following the code for the nature of injury when a causal relationship is stated or implied.
Coding Guidelines
When to Use:
- ✓When a pedestrian is injured in a collision with a car, pick-up truck or van.
- ✓When a pedestrian is injured in a collision with a heavy transport vehicle or bus.
- ✓When a pedestrian is injured in a collision with a train or railway vehicle.
- ✓When a pedestrian is injured in a collision with other non-motor vehicles.
- ✓When a pedestrian is injured in other and unspecified transport accidents.
When NOT to Use:
- ✗When the patient is the driver or passenger of the vehicle involved in the accident.
- ✗When the injury is not related to a transport accident.
- ✗When the patient is a cyclist or motorcyclist involved in the accident.
- ✗When the injury occurred due to a fall or other non-transport related accident.
Code Exclusions
Always verify exclusions with the patient's medical record and the ICD-10 coding guidelines.
Documentation Requirements
Documentation for these codes should include detailed information about the nature of the accident, the type of vehicle involved, and the injuries sustained by the pedestrian. Any associated conditions or factors should also be documented.
Clinical Information:
- •Type of vehicle involved in the accident.
- •Nature of the pedestrian's involvement.
- •Detailed description of the injuries sustained.
- •Any associated conditions or factors, such as alcohol or drug involvement.
Supporting Evidence:
- •Emergency department records.
- •Medical examination findings.
- •Imaging reports.
- •Laboratory test results.
Good Documentation Example:
Pedestrian, Mr. X, was struck by a car while crossing the street. He sustained a fracture of the right femur and a concussion. Blood alcohol level was 0.08%.
Poor Documentation Example:
Patient was hit by a car.
Common Documentation Errors:
- âš Not specifying the type of vehicle involved in the accident.
- âš Not documenting the nature of the pedestrian's involvement.
- âš Not providing a detailed description of the injuries sustained.
- âš Not documenting associated conditions or factors.
Range Statistics
8
Total Codes
72
Billable
Complexity:
Medium
Primary Use:Clinical Documentation
Chapter:20
Coding Complexity
Medium
Complexity Rating
These codes require a moderate level of coding knowledge and skill. The coder must be able to interpret detailed medical documentation and apply the appropriate codes based on the type of vehicle involved, the nature of the pedestrian's involvement, the specific injuries sustained, and any associated conditions or factors.
Key Factors:
- â–¸Determining the type of vehicle involved in the accident.
- â–¸Identifying the nature of the pedestrian's involvement.
- â–¸Coding the specific injuries sustained.
- â–¸Identifying any associated conditions or factors.
Specialty Focus
These codes are primarily used in emergency medicine, orthopedics, and trauma surgery. They may also be used in other specialties when treating injuries resulting from transport accidents.
Primary Specialties:
Emergency Medicine
40%
Orthopedics
30%
Trauma Surgery
30%
Clinical Scenarios:
- • A pedestrian is hit by a car and sustains a broken leg.
- • A pedestrian is struck by a bus and suffers a head injury.
- • A pedestrian is hit by a train and sustains multiple injuries.
- • A pedestrian is hit by a bicycle and suffers a sprained ankle.
- • A pedestrian is involved in an unspecified transport accident and suffers a concussion.
Resources & References
There are several resources available for understanding and applying the V01-V04 code range.
Official Guidelines:
- ICD-10-CM Official Guidelines for Coding and Reporting.
- National Center for Health Statistics (NCHS).
- Centers for Disease Control and Prevention (CDC).
- World Health Organization (WHO).
Clinical References:
- American College of Emergency Physicians (ACEP).
- American Academy of Orthopaedic Surgeons (AAOS).
- American Association for the Surgery of Trauma (AAST).
Educational Materials:
- American Health Information Management Association (AHIMA).
- American Academy of Professional Coders (AAPC).
- Medical Coding Pro.
Frequently Asked Questions
Can V01-V04 codes be used if the patient was not directly hit by the vehicle?
Yes, these codes can be used if the pedestrian was injured as a result of the transport accident, even if they were not directly hit by the vehicle.