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ICD-10 Guide
ICD-10 CodesV04.00

V04.00

Billable

Pedestrian on foot injured in collision with heavy transport vehicle or bus in nontraffic accident

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

Code Description

ICD-10 V04.00 is a billable code used to indicate a diagnosis of pedestrian on foot injured in collision with heavy transport vehicle or bus in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V04.00 is used to classify injuries sustained by pedestrians who are struck by heavy transport vehicles or buses in nontraffic accidents. These incidents may occur in various settings, such as private property, parking lots, or construction sites, where vehicles operate outside of public roadways. The injuries can range from minor bruises to severe trauma, including fractures, head injuries, and internal injuries, depending on the speed of the vehicle and the circumstances of the accident. Accurate coding of this event is crucial for understanding the epidemiology of pedestrian injuries, guiding public health interventions, and ensuring appropriate resource allocation for trauma care. Documentation should include details about the location, circumstances of the accident, and the nature of the injuries sustained to support the use of this code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact nature of the accident (nontraffic vs. traffic)
  • Identifying the type of vehicle involved (heavy transport vs. light vehicle)
  • Documenting the specific injuries sustained by the pedestrian
  • Understanding the context of the accident (e.g., private property vs. public space)

Audit Risk Factors

  • Inadequate documentation of the accident's circumstances
  • Misclassification of the accident type (traffic vs. nontraffic)
  • Failure to specify the type of vehicle involved
  • Inconsistent linkage between external cause codes and injury diagnosis codes

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, location of the accident, and any relevant witness statements.

Common Clinical Scenarios

Patients presenting with trauma after being struck by a bus in a parking lot or construction site.

Billing Considerations

Consider the potential for multiple injuries and ensure all are documented and coded appropriately.

Trauma Surgery

Documentation Requirements

Trauma assessments must include detailed descriptions of injuries, mechanisms of injury, and any surgical interventions performed.

Common Clinical Scenarios

Patients requiring surgical intervention after being struck by a heavy vehicle, with complex injuries.

Billing Considerations

Ensure that all injuries are coded, including secondary injuries that may arise from the primary impact.

Coding Guidelines

Inclusion Criteria

Use V04.00 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that external cause codes are sequenced correctly and that the primary diagnosis is linked to the external cause appropriately
  • Use additional codes to specify the nature of the injuries

Exclusion Criteria

Do NOT use V04.00 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a patient presents to the emergency department after being struck by a heavy vehicle.

Documentation Requirements

Document the mechanism of injury, vital signs, and any immediate interventions.

Specialty Considerations

Emergency medicine specialists should ensure that all relevant details are captured to support the visit level.

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 and facilitating better public health tracking of pedestrian injuries.

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy and facilitating better public health tracking of 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

What is the difference between traffic and nontraffic accidents?

Traffic accidents involve vehicles operating on public roadways, while nontraffic accidents occur in private or non-public areas, such as parking lots or private property.