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ICD-10 Guide
ICD-10 CodesV03.10

V03.10

Billable

Pedestrian on foot injured in collision with car, pick-up truck or van in traffic accident

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

Code Description

ICD-10 V03.10 is a billable code used to indicate a diagnosis of pedestrian on foot injured in collision with car, pick-up truck or van in traffic accident.

Key Diagnostic Point:

The ICD-10 code V03.10 is used to classify injuries sustained by pedestrians who are struck by motor vehicles, specifically cars, pick-up trucks, or vans, during traffic accidents. This code captures the external cause of morbidity and mortality related to pedestrian injuries, which are a significant public health concern. Pedestrian injuries can result in a wide range of outcomes, from minor bruises to severe trauma, including fractures, head injuries, and even fatalities. Accurate coding of these incidents is crucial for epidemiological tracking, resource allocation, and prevention strategies. The code is applicable in various clinical settings, including emergency departments, trauma centers, and outpatient facilities, where documentation of the circumstances surrounding the injury is essential for appropriate treatment and follow-up care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the circumstances of the accident.
  • Differentiation between types of vehicles involved.
  • Potential for multiple injuries requiring additional codes.
  • Variability in state laws regarding pedestrian rights and vehicle operator responsibilities.

Audit Risk Factors

  • Inadequate documentation of the accident details.
  • Failure to specify the type of vehicle involved.
  • Incorrect linkage between the injury diagnosis and the external cause code.
  • Misclassification of the pedestrian's status (e.g., crossing the street legally).

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, including the type of vehicle and the circumstances leading to the accident.

Common Clinical Scenarios

A pedestrian struck by a car while crossing at a crosswalk, or a pedestrian hit while walking along the roadside.

Billing Considerations

Consideration of the pedestrian's actions prior to the accident, such as whether they were following traffic signals.

Trauma Surgery

Documentation Requirements

Trauma documentation must include detailed descriptions of injuries sustained, the mechanism of injury, and any surgical interventions performed.

Common Clinical Scenarios

Severe head trauma from a pedestrian being struck by a vehicle, requiring surgical intervention.

Billing Considerations

Documentation should reflect the severity of injuries and any complications arising from the accident.

Coding Guidelines

Inclusion Criteria

Use V03.10 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • The external cause code should be reported in the secondary position, following the injury diagnosis code
  • It is essential to capture the full context of the incident, including the location and circumstances

Exclusion Criteria

Do NOT use V03.10 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a pedestrian injury requires emergency evaluation and treatment.

Documentation Requirements

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

Specialty Considerations

Emergency medicine specialists should ensure that all aspects of the injury are 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, improving data accuracy for public health tracking and resource allocation. V03.10 provides specificity that was not available in ICD-9, enhancing the ability to analyze pedestrian injury trends.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, improving data accuracy for public health tracking and resource allocation. V03.10 provides specificity that was not available in ICD-9, enhancing the ability to analyze pedestrian injury trends.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, improving data accuracy for public health tracking and resource allocation. V03.10 provides specificity that was not available in ICD-9, enhancing the ability to analyze pedestrian injury trends.

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 documentation is required for V03.10?

Documentation must include details about the accident, the type of vehicle involved, the pedestrian's actions, and the injuries sustained. This information is crucial for accurate coding and billing.