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ICD-10 Guide
ICD-10 CodesV03.90

V03.90

Billable

Pedestrian on foot 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 V03.90 is a billable code used to indicate a diagnosis of pedestrian on foot injured in collision with car, pick-up truck or van, unspecified whether traffic or nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V03.90 is used to classify injuries sustained by pedestrians who are struck by a car, pick-up truck, or van. This code is particularly relevant in emergency medicine and trauma settings, where accurate documentation of the external cause of injury is critical for treatment and billing purposes. The code does not specify whether the incident occurred in a traffic or nontraffic context, which can complicate the coding process. Common scenarios include pedestrians being hit while crossing the street, walking on sidewalks, or in parking lots. Accurate coding requires thorough documentation of the circumstances surrounding the incident, including the location, time, and nature of the collision. This code is essential for public health data collection, as it helps track pedestrian injuries and informs safety initiatives aimed at reducing such incidents.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Uncertainty regarding traffic vs. nontraffic classification
  • Need for detailed documentation of the incident
  • Variability in injury severity and associated codes
  • Potential for multiple external cause codes to be applicable

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Misclassification of traffic vs. nontraffic incidents
  • Failure to capture additional injuries or external cause codes
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency physicians must document the mechanism of injury, location of the incident, and any contributing factors such as visibility or environmental conditions.

Common Clinical Scenarios

Patients presenting after being struck by a vehicle while crossing the street or walking in a parking lot.

Billing Considerations

Ensure that the documentation clearly indicates whether the incident was traffic-related or not, as this impacts coding.

Trauma Surgery

Documentation Requirements

Trauma surgeons should document the extent of injuries, the mechanism of injury, and any surgical interventions performed.

Common Clinical Scenarios

Patients with multiple injuries from a pedestrian vs. vehicle collision requiring surgical intervention.

Billing Considerations

Consider the need for additional codes to capture all injuries sustained in the incident.

Coding Guidelines

Inclusion Criteria

Use V03.90 When
  • Coders should refer to the official ICD
  • CM coding guidelines, particularly those related to external causes of morbidity
  • Accurate coding requires a thorough understanding of the circumstances of the injury and the ability to differentiate between traffic and nontraffic incidents

Exclusion Criteria

Do NOT use V03.90 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 significant injuries from a pedestrian vs. vehicle collision.

Documentation Requirements

Document the severity of the injury and the treatment provided.

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 pedestrian injuries, improving data accuracy for public health tracking and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of pedestrian injuries, improving data accuracy for public health tracking and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of pedestrian injuries, improving data accuracy for public health tracking and resource allocation.

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 V03.90?

Document the specifics of the incident, including the type of vehicle involved, the location of the accident, and any contributing factors such as visibility or environmental conditions.