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ICD-10 Guide
ICD-10 CodesChapter 20: External causes of morbidityV04

V04

Non-billable

Pedestrian injured in collision with heavy transport vehicle or bus

Chapter 20:External causes of morbidity

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 V04 is a used to indicate a diagnosis of pedestrian injured in collision with heavy transport vehicle or bus.

Key Diagnostic Point:

The ICD-10 Level 1 Category code V04 pertains to pedestrians injured in collisions with heavy transport vehicles or buses. This category encompasses a range of injuries sustained by individuals who are struck by large vehicles, which can include fractures, contusions, lacerations, and more severe trauma such as traumatic brain injuries or internal organ damage. The clinical significance of this code lies in its ability to capture the severity and nature of injuries resulting from such incidents, which are often more serious than those resulting from collisions with smaller vehicles due to the size and weight of heavy transport vehicles. Accurate coding is essential for effective treatment planning and resource allocation in emergency and trauma care settings.

  • Usage guidelines for V04 suggest that it should be applied when a pedestrian is involved in an accident with a heavy transport vehicle or bus, regardless of the severity of the injuries. This code is critical for tracking injury patterns and outcomes in pedestrian accidents, which can inform public health initiatives aimed at reducing such incidents. Clinicians should ensure that the circumstances of the accident and the nature of the injuries are well-documented to support the use of this code in medical records and billing processes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential injuries
  • Need for accurate documentation
  • Variability in treatment protocols

Audit Risk Factors

  • Inadequate documentation of injuries
  • Misclassification of injury severity
  • Failure to capture all relevant details of the incident

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Trauma Surgery

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical and administrative impact of the V04 code category is significant, particularly in the context of public health and safety initiatives aimed at reducing pedestrian injuries. By accurately capturing data on injuries resulting from collisions with heavy transport vehicles, healthcare providers can contribute to a better understanding of the prevalence and severity of such incidents. This information can inform policy decisions and resource allocation for injury prevention programs and traffic safety measures.
From a healthcare trends perspective, the V04 code highlights the importance of addressing pedestrian safety in urban planning and transportation policies. As cities continue to grow and evolve, understanding the factors contributing to pedestrian injuries can lead to improved infrastructure and safety measures. Additionally, tracking these injuries can help healthcare systems manage resources more effectively and improve outcomes for affected individuals, ultimately enhancing population health.

ICD-9 vs ICD-10

The clinical and administrative impact of the V04 code category is significant, particularly in the context of public health and safety initiatives aimed at reducing pedestrian injuries. By accurately capturing data on injuries resulting from collisions with heavy transport vehicles, healthcare providers can contribute to a better understanding of the prevalence and severity of such incidents. This information can inform policy decisions and resource allocation for injury prevention programs and traffic safety measures. From a healthcare trends perspective, the V04 code highlights the importance of addressing pedestrian safety in urban planning and transportation policies. As cities continue to grow and evolve, understanding the factors contributing to pedestrian injuries can lead to improved infrastructure and safety measures. Additionally, tracking these injuries can help healthcare systems manage resources more effectively and improve outcomes for affected individuals, ultimately enhancing population health.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the severity of the injuries and the treatment provided. It is essential to ensure that all relevant codes are used in conjunction with V04 to capture the complete clinical picture and support the billing process. Common billing practices include the use of modifiers to indicate the complexity of the case and the necessity for additional services.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for V04

Coding & Billing References

  • •
    Official ICD-10 Guidelines for V04

Frequently Asked Questions

What conditions are included in V04?

V04 includes a variety of conditions resulting from pedestrian injuries in collisions with heavy transport vehicles or buses, such as fractures, contusions, lacerations, and more severe injuries like traumatic brain injuries or internal organ damage.

When should I use V04 codes?

V04 codes should be used when documenting injuries sustained by a pedestrian involved in an accident with a heavy transport vehicle or bus, regardless of the severity of the injuries.

What documentation is required for V04?

Documentation for V04 should include details of the accident, the nature of the injuries sustained, and any treatment provided. This information is crucial for accurate coding and billing.