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ICD-10 Guide
ICD-10 CodesV02.90

V02.90

Billable

Pedestrian on foot injured in collision with two- or three-wheeled motor vehicle, unspecified whether traffic or nontraffic accident

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

Code Description

ICD-10 V02.90 is a billable code used to indicate a diagnosis of pedestrian on foot injured in collision with two- or three-wheeled motor vehicle, unspecified whether traffic or nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V02.90 is used to classify injuries sustained by pedestrians involved in collisions with two- or three-wheeled motor vehicles, without specifying whether the incident occurred in a traffic or nontraffic context. This code is crucial for capturing data related to pedestrian injuries, which can inform public health initiatives and traffic safety programs. Clinical scenarios may include a pedestrian being struck by a motorcycle or scooter while crossing a street or walking on a sidewalk. Accurate coding is essential for understanding the epidemiology of pedestrian injuries, which can help in developing targeted interventions to reduce such incidents. Documentation should include details about the circumstances of the collision, the type of vehicle involved, and the location of the incident to ensure proper coding and analysis of external causes of morbidity and mortality.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Uncertainty regarding whether the incident is traffic or nontraffic-related.
  • Variability in documentation practices among providers.
  • Need for precise details about the incident to ensure accurate coding.
  • Potential for confusion with similar codes related to pedestrian injuries.

Audit Risk Factors

  • Inadequate documentation of the circumstances surrounding the accident.
  • Misclassification of the incident as traffic or nontraffic.
  • Failure to capture the type of vehicle involved.
  • Inconsistent coding practices across different providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, type of vehicle, and any relevant patient history.

Common Clinical Scenarios

A patient presents to the ER after being struck by a motorcycle while walking on a sidewalk.

Billing Considerations

Ensure that the documentation specifies whether the incident was traffic-related, as this impacts coding.

Trauma Surgery

Documentation Requirements

Trauma notes must detail the injury mechanism, including the type of vehicle and the circumstances of the collision.

Common Clinical Scenarios

A trauma patient arrives after being hit by a scooter while crossing the street.

Billing Considerations

Accurate coding is critical for trauma registries and public health data.

Coding Guidelines

Inclusion Criteria

Use V02.90 When
  • According to ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the corresponding injury codes
  • It is essential to report the external cause code to provide context for the injury and to follow the guidelines for sequencing these codes appropriately

Exclusion Criteria

Do NOT use V02.90 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used when a patient presents to the emergency department after being struck by a two- or three-wheeled vehicle.

Documentation Requirements

Documentation must support the level of service, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine providers should ensure that the mechanism of injury is clearly documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, including pedestrian incidents. This specificity aids in better tracking and analysis of injury patterns, which can inform public health initiatives and safety regulations.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, including pedestrian incidents. This specificity aids in better tracking and analysis of injury patterns, which can inform public health initiatives and safety regulations.

Reimbursement & Billing Impact

reimbursement and for maintaining compliance with coding standards.

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 I document to support the use of V02.90?

Document the specifics of the incident, including the type of vehicle involved, the location of the accident, and any relevant patient history. This information is crucial for accurate coding and analysis.