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ICD-10 Guide
ICD-10 CodesV04.11

V04.11

Billable

Pedestrian on roller-skates injured in collision with heavy transport vehicle or bus in traffic accident

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

Code Description

ICD-10 V04.11 is a billable code used to indicate a diagnosis of pedestrian on roller-skates injured in collision with heavy transport vehicle or bus in traffic accident.

Key Diagnostic Point:

This code is used to classify injuries sustained by pedestrians who are roller-skating and are involved in a collision with a heavy transport vehicle or bus during a traffic accident. Such incidents can lead to severe injuries due to the significant weight and size of the vehicles involved. Common injuries may include fractures, contusions, lacerations, and traumatic brain injuries. Accurate coding is essential for understanding the epidemiology of such accidents, facilitating 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. This code is particularly relevant in urban settings where roller-skating is more common and traffic density is high, increasing the risk of such collisions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of the external cause code
  • Need for detailed documentation of the accident circumstances
  • Potential for multiple injuries requiring additional codes
  • Variability in injury severity and treatment

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Misclassification of the type of vehicle involved
  • Failure to capture all injuries sustained
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, the type of vehicle involved, and the patient's condition upon arrival.

Common Clinical Scenarios

Patients presenting with trauma after being struck by a bus while roller-skating, requiring immediate assessment and intervention.

Billing Considerations

Consideration of potential head injuries and the need for imaging studies.

Trauma Surgery

Documentation Requirements

Detailed surgical notes must include the nature of injuries, surgical interventions performed, and follow-up care.

Common Clinical Scenarios

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

Billing Considerations

Documentation of the mechanism of injury is crucial for trauma registry purposes.

Coding Guidelines

Inclusion Criteria

Use V04.11 When
  • Follow the ICD
  • CM Official Guidelines for Coding and Reporting, particularly Section I
  • 19 for external causes of morbidity
  • Ensure that the external cause code is sequenced correctly with the primary diagnosis code reflecting the injury

Exclusion Criteria

Do NOT use V04.11 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 severe injuries from a roller-skating accident.

Documentation Requirements

Document the patient's condition, treatment provided, and any imaging studies performed.

Specialty Considerations

Emergency medicine specialists should ensure comprehensive documentation of the injury mechanism.

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 accuracy and facilitating better public health tracking of roller-skating accidents.

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

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

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 be documented to support the use of V04.11?

Documentation should include the specifics of the accident, including the type of vehicle involved, the circumstances leading to the collision, and a detailed account of the injuries sustained by the patient.