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ICD-10 Guide
ICD-10 CodesV03.11

V03.11

Billable

Pedestrian on roller-skates 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 V03.11 is a billable code used to indicate a diagnosis of pedestrian on roller-skates injured in collision with car, pick-up truck or van in traffic accident.

Key Diagnostic Point:

The ICD-10 code V03.11 is used to classify injuries sustained by pedestrians on roller-skates who are involved in a collision with a motor vehicle, specifically a car, pick-up truck, or van, during a traffic accident. This code captures the external cause of morbidity and mortality related to traffic incidents, emphasizing the vulnerability of pedestrians, particularly those using roller-skates. Such incidents can lead to a range of injuries, from minor abrasions to severe trauma, including fractures and head injuries. Accurate coding is crucial for public health data collection, resource allocation, and injury prevention strategies. It is essential for healthcare providers to document the circumstances of the accident, including the type of vehicle involved and the nature of the injuries sustained, to ensure proper coding and facilitate effective treatment and follow-up care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident circumstances
  • Differentiation between types of vehicles involved
  • Potential for multiple injuries requiring additional codes
  • Variability in local traffic laws affecting coding

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Misclassification of the type of vehicle involved
  • Failure to capture all injuries sustained
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, including the type of roller-skates and the vehicle involved, as well as the patient's vital signs and initial assessment.

Common Clinical Scenarios

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

Billing Considerations

Consideration of the patient's age and any pre-existing conditions that may affect recovery.

Trauma Surgery

Documentation Requirements

Detailed trauma assessments, including imaging results and surgical interventions, must be documented to support the coding of injuries.

Common Clinical Scenarios

Severe injuries requiring surgical intervention, such as orthopedic repairs or neurosurgery.

Billing Considerations

Documentation should include the mechanism of injury and any complications arising from the accident.

Coding Guidelines

Inclusion Criteria

Use V03.11 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is essential to report the external cause code to provide context for the injury and to follow the guidelines for sequencing codes correctly

Exclusion Criteria

Do NOT use V03.11 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used for patients presenting with injuries from a traffic accident.

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 relevant details of the accident are captured.

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 for public health surveillance and injury prevention efforts.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy for public health surveillance and injury prevention efforts.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy for public health surveillance and injury prevention efforts.

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 V03.11?

You should document the specifics of the accident, including the type of vehicle involved, the circumstances leading to the collision, and the nature of the injuries sustained by the patient.