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v1.0.0
ICD-10 Guide
ICD-10 CodesV02.11

V02.11

Billable

Pedestrian on roller-skates injured in collision with two- or three-wheeled motor vehicle in traffic accident

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 V02.11 is a billable code used to indicate a diagnosis of pedestrian on roller-skates injured in collision with two- or three-wheeled motor vehicle in traffic accident.

Key Diagnostic Point:

This code is used to classify injuries sustained by pedestrians who are roller-skating and are involved in a collision with a two- or three-wheeled motor vehicle during a traffic accident. Such incidents can lead to a variety of injuries ranging from minor abrasions to severe trauma, including fractures, head injuries, and internal injuries. The context of the injury is critical for understanding the circumstances surrounding the event, which can inform public health strategies aimed at reducing similar accidents. Accurate coding of this incident is essential for tracking injury patterns, assessing risk factors, and implementing preventive measures. Documentation should include details about the circumstances of the accident, the type of vehicle involved, and the nature of the injuries sustained.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of the external cause code
  • Need for detailed documentation of the incident
  • Variability in injury severity and types
  • Potential for misclassification with similar codes

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Misuse of related codes leading to incorrect billing
  • Failure to capture the mechanism of injury accurately
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, patient presentation, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with lacerations, fractures, or concussions after being struck by a motor vehicle while roller-skating.

Billing Considerations

Ensure that the external cause code is linked to the primary diagnosis code for accurate representation of the injury.

Trauma Surgery

Documentation Requirements

Trauma assessments must include detailed descriptions of injuries, surgical interventions, and follow-up care.

Common Clinical Scenarios

Trauma cases involving multiple injuries from a collision, requiring surgical intervention.

Billing Considerations

Consider the potential for multiple injury sites and the need for comprehensive coding to reflect the full extent of trauma.

Coding Guidelines

Inclusion Criteria

Use V02.11 When
  • Follow the ICD
  • CM Official Guidelines for Coding and Reporting, ensuring that external cause codes are reported in conjunction with the appropriate diagnosis codes
  • The external cause code should be sequenced after the primary diagnosis code

Exclusion Criteria

Do NOT use V02.11 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used for patients presenting with severe injuries from a traffic accident.

Documentation Requirements

Document the patient's condition, treatment provided, and any referrals made.

Specialty Considerations

Emergency medicine specialists should ensure that the visit level reflects the complexity of the case.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy and enabling better tracking of injury patterns.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy and enabling better tracking of injury patterns.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy and enabling better tracking of injury patterns.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What should be documented to support the use of V02.11?

Documentation should include details about the accident, the type of vehicle involved, the patient's injuries, and any treatments provided. This information is crucial for accurate coding and billing.