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ICD-10 Guide
ICD-10 CodesV03.9

V03.9

Billable

Pedestrian injured in collision with car, pick-up truck or van, unspecified whether traffic or nontraffic accident

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

Code Description

ICD-10 V03.9 is a billable code used to indicate a diagnosis of pedestrian injured in collision with car, pick-up truck or van, unspecified whether traffic or nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V03.9 is used to classify injuries sustained by pedestrians involved in collisions with cars, pick-up trucks, or vans. This code is particularly relevant in cases where the circumstances of the accident are not clearly defined as either traffic-related or nontraffic-related. Such injuries can range from minor abrasions to severe trauma, including fractures, head injuries, and internal injuries. Accurate coding is essential for understanding the epidemiology of pedestrian injuries, which can inform public health initiatives aimed at reducing such incidents. Documentation should include details about the accident's context, the pedestrian's condition, and any immediate medical interventions provided. This code is critical for trauma registries and public health data collection, as it helps identify trends in pedestrian safety and the effectiveness of preventive measures.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in determining traffic vs. nontraffic accident
  • Variability in documentation quality from different providers
  • Need for detailed accident context for accurate coding
  • Potential for multiple injuries requiring additional codes

Audit Risk Factors

  • Inadequate documentation of accident circumstances
  • Misclassification of traffic vs. nontraffic incidents
  • Failure to capture all injuries sustained
  • Inconsistent coding practices across departments

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly describe the mechanism of injury, including details about the vehicle involved and the circumstances of the accident.

Common Clinical Scenarios

Patients presenting with trauma after being struck by a vehicle, requiring immediate assessment and intervention.

Billing Considerations

Consider the need for additional codes for specific injuries sustained during the incident.

Trauma Surgery

Documentation Requirements

Trauma registries require comprehensive documentation of the injury mechanism, including the type of vehicle and the nature of the collision.

Common Clinical Scenarios

Patients with multiple injuries from pedestrian-vehicle collisions requiring surgical intervention.

Billing Considerations

Ensure all injuries are documented to support accurate coding and billing.

Coding Guidelines

Inclusion Criteria

Use V03.9 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the external cause code is used in conjunction with the appropriate injury codes
  • Document the circumstances of the accident thoroughly to support the use of V03

Exclusion Criteria

Do NOT use V03.9 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 a high level of care in the emergency department.

Documentation Requirements

Document the severity of the injury and the complexity of medical decision-making.

Specialty Considerations

Emergency medicine providers should ensure that the visit level reflects the patient's condition.

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 collection and analysis for public health initiatives aimed at reducing pedestrian injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, improving data collection and analysis for public health initiatives aimed at reducing pedestrian injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, improving data collection and analysis for public health initiatives aimed at reducing pedestrian injuries.

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

When should I use V03.9 instead of a more specific code?

Use V03.9 when the circumstances of the accident are unclear or when the specific type of vehicle involved cannot be determined. If more specific information is available, opt for the appropriate code.