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ICD-10 Guide
ICD-10 CodesV04.01

V04.01

Billable

Pedestrian on roller-skates 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 V04.01 is a billable code used to indicate a diagnosis of pedestrian on roller-skates injured in collision with heavy transport vehicle or bus in nontraffic accident.

Key Diagnostic Point:

This code is used to classify injuries sustained by a pedestrian on roller-skates who is involved in a collision with a heavy transport vehicle or bus, specifically in a nontraffic accident context. Nontraffic accidents refer to incidents that occur outside of the traditional roadway environment, such as in parking lots, private property, or other areas not designated as public roads. The injuries can range from minor abrasions to severe trauma, including fractures or head injuries, depending on the speed and weight of the vehicle involved. Accurate coding of this incident is crucial for understanding the epidemiology of such injuries, guiding public health interventions, and ensuring appropriate resource allocation for trauma care. Documentation should include details about the circumstances of the accident, the type of vehicle involved, and the nature of the injuries sustained.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of the external cause code
  • Need for detailed documentation of the accident circumstances
  • Differentiation between traffic and nontraffic accidents
  • Potential for multiple injuries requiring co-coding

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, including the type of vehicle involved and the circumstances of the accident.

Common Clinical Scenarios

Patients presenting with injuries from roller-skating accidents, particularly in nontraffic settings such as parking lots.

Billing Considerations

Ensure that the distinction between traffic and nontraffic accidents is clearly articulated in the documentation to avoid coding errors.

Trauma Surgery

Documentation Requirements

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

Common Clinical Scenarios

Trauma cases involving severe injuries from collisions with heavy vehicles, requiring surgical intervention.

Billing Considerations

Accurate coding is essential for trauma registry data and for tracking injury patterns in the population.

Coding Guidelines

Inclusion Criteria

Use V04.01 When
  • Follow the ICD
  • CM Official Guidelines for Coding and Reporting, particularly Section I
  • 19 for external cause codes
  • Ensure that the code is used in conjunction with the appropriate injury codes to provide a complete picture of the patient's condition

Exclusion Criteria

Do NOT use V04.01 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 support the level of service, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine providers should ensure that the mechanism of injury is clearly documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding external causes of injuries, improving data quality for public health and injury prevention efforts. This code provides a clear framework for tracking nontraffic accidents involving roller-skating.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding external causes of injuries, improving data quality for public health and injury prevention efforts. This code provides a clear framework for tracking nontraffic accidents involving roller-skating.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for greater specificity in coding external causes of injuries, improving data quality for public health and injury prevention efforts. This code provides a clear framework for tracking nontraffic accidents involving roller-skating.

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 incidents that occur on public roadways, while nontraffic accidents occur in other locations, such as parking lots or private property. Accurate coding requires understanding this distinction.