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ICD-10 Guide
ICD-10 CodesV04.19

V04.19

Billable

Pedestrian with other conveyance 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 V04.19 is a billable code used to indicate a diagnosis of pedestrian with other conveyance injured in collision with heavy transport vehicle or bus in traffic accident.

Key Diagnostic Point:

The ICD-10 code V04.19 is used to classify injuries sustained by pedestrians using other conveyances, such as bicycles, scooters, or skateboards, when involved in a collision with heavy transport vehicles or buses during traffic accidents. This code is crucial for capturing the external causes of morbidity and mortality related to traffic incidents, particularly those involving vulnerable road users. Accurate coding of such incidents helps in understanding the epidemiology of traffic-related injuries, guiding public health interventions, and improving road safety measures. Documentation should include details about the type of conveyance used, the circumstances of the accident, and any contributing factors such as weather conditions or visibility issues. This code is essential for trauma registries and public health data collection, as it aids in identifying trends and developing preventive strategies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of conveyances used by pedestrians.
  • Understanding the specific circumstances of the collision.
  • Accurate documentation of the external cause of injury.
  • Potential overlap with other external cause codes.

Audit Risk Factors

  • Inadequate documentation of the type of conveyance.
  • Failure to specify the circumstances of the accident.
  • Misclassification of the external cause of injury.
  • Inconsistent use of codes for similar incidents.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, type of conveyance, and details of the accident.

Common Clinical Scenarios

Patients presenting with injuries from traffic accidents involving bicycles or scooters colliding with buses.

Billing Considerations

Ensure that all relevant details are captured in the initial assessment to support accurate coding.

Trauma Surgery

Documentation Requirements

Trauma registries require comprehensive documentation of the injury mechanism, including the type of vehicle involved and the patient's conveyance.

Common Clinical Scenarios

Trauma cases involving severe injuries from collisions with heavy vehicles.

Billing Considerations

Consider the potential for multiple injuries and the need for thorough documentation to support coding for all injuries sustained.

Coding Guidelines

Inclusion Criteria

Use V04.19 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be reported in conjunction with the primary diagnosis code
  • It is essential to capture the specific circumstances of the injury, including the type of conveyance and the nature of the collision

Exclusion Criteria

Do NOT use V04.19 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 traffic accident.

Documentation Requirements

Document the nature of the injuries and the circumstances of the accident.

Specialty Considerations

Emergency medicine specialists should ensure thorough documentation 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 collection and analysis for public health initiatives aimed at reducing traffic-related injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data collection and analysis for public health initiatives aimed at reducing traffic-related injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data collection and analysis for public health initiatives aimed at reducing traffic-related 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 types of conveyances are included under V04.19?

V04.19 includes injuries sustained by pedestrians using bicycles, scooters, skateboards, and other similar conveyances when involved in a collision with heavy transport vehicles or buses.