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ICD-10 Guide
ICD-10 CodesV03.91

V03.91

Billable

Pedestrian on roller-skates 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 V03.91 is a billable code used to indicate a diagnosis of pedestrian on roller-skates injured in collision with car, pick-up truck or van, unspecified whether traffic or nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V03.91 is used to classify injuries sustained by a pedestrian on roller-skates who is involved in a collision with a motor vehicle, specifically a car, pick-up truck, or van. This code is particularly relevant in scenarios where the circumstances of the accident are not clearly defined as either a traffic or nontraffic incident. Such injuries can range from minor abrasions to severe trauma, including fractures or head injuries, depending on the speed of the vehicle and the impact. Accurate coding is essential for tracking injury patterns, understanding public health implications, and ensuring appropriate resource allocation for injury prevention programs. This code is often utilized in emergency departments and trauma centers, where immediate care is provided, and thorough documentation of the incident is critical for both clinical and billing purposes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining whether the incident is traffic or nontraffic can be ambiguous.
  • Injuries may vary widely in severity, complicating documentation.
  • Need for detailed incident descriptions to support coding.
  • Potential for misclassification if the context of the accident is unclear.

Audit Risk Factors

  • Inadequate documentation of the circumstances surrounding the accident.
  • Failure to specify the type of vehicle involved.
  • Misclassification of the accident type (traffic vs. nontraffic).
  • Inconsistent coding practices among different providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, including details about the collision, patient presentation, and any immediate interventions.

Common Clinical Scenarios

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

Billing Considerations

Emergency providers should ensure that the external cause code reflects the specifics of the incident to avoid billing discrepancies.

Trauma Surgery

Documentation Requirements

Trauma surgeons need comprehensive documentation of the injury severity, surgical interventions, and post-operative care related to the collision.

Common Clinical Scenarios

Trauma cases involving multiple injuries from a collision, requiring surgical intervention.

Billing Considerations

Accurate coding is crucial for trauma registries and for understanding injury patterns in the community.

Coding Guidelines

Inclusion Criteria

Use V03.91 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to document the circumstances of the injury, including the location, activity at the time of the accident, and the type of vehicle involved

Exclusion Criteria

Do NOT use V03.91 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 with injuries from a roller-skating accident.

Documentation Requirements

Documentation must include the reason for the visit, examination findings, and treatment provided.

Specialty Considerations

Emergency medicine providers should ensure that the external cause code is linked to the visit.

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, improving data collection and analysis for public health initiatives. V03.91 provides a clear framework for documenting roller-skating injuries, which can inform safety measures and policy changes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data collection and analysis for public health initiatives. V03.91 provides a clear framework for documenting roller-skating injuries, which can inform safety measures and policy changes.

Reimbursement & Billing Impact

reimbursement and for tracking 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 should I document to support the use of V03.91?

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. This information is crucial for accurate coding and billing.