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ICD-10 Guide
ICD-10 CodesV04.9

V04.9

Billable

Pedestrian injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident

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

Code Description

ICD-10 V04.9 is a billable code used to indicate a diagnosis of pedestrian injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident.

Key Diagnostic Point:

This code is used to classify injuries sustained by pedestrians involved in collisions with heavy transport vehicles or buses. It is crucial for capturing data related to external causes of morbidity and mortality, particularly in urban settings where pedestrian traffic is high. The code does not specify whether the incident occurred in a traffic or nontraffic context, which can complicate data analysis and public health reporting. Accurate coding is essential for understanding the epidemiology of pedestrian injuries, informing prevention strategies, and allocating resources for trauma care. Common scenarios include pedestrians struck while crossing streets, standing near bus stops, or in parking lots. Documentation should include details about the circumstances of the incident, the type of vehicle involved, and the location to ensure comprehensive data capture.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity regarding traffic vs. nontraffic classification
  • Variability in documentation quality from different healthcare providers
  • Need for precise details about the incident for accurate coding
  • Potential overlap with other external cause codes

Audit Risk Factors

  • Inadequate documentation of the incident details
  • Misclassification of traffic vs. nontraffic accidents
  • Failure to capture the specific type of vehicle involved
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly describe the mechanism of injury, the patient's condition upon arrival, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with fractures, lacerations, or traumatic brain injuries after being struck by a bus or heavy vehicle.

Billing Considerations

Ensure that the mechanism of injury is well-documented to support the use of V04.9, especially in cases where the patient may have multiple injuries.

Trauma Surgery

Documentation Requirements

Operative reports and trauma assessments must detail the injuries sustained, the type of vehicle involved, and the circumstances leading to the injury.

Common Clinical Scenarios

Severe injuries requiring surgical intervention, such as pelvic fractures or internal organ damage from a collision.

Billing Considerations

Accurate coding is critical for trauma registries and may influence trauma center designation and funding.

Coding Guidelines

Inclusion Criteria

Use V04.9 When
  • Follow the ICD
  • CM Official Guidelines for Coding and Reporting, particularly Section I
  • 19 for external cause codes
  • Ensure that the external cause code is sequenced correctly in relation to the diagnosis codes

Exclusion Criteria

Do NOT use V04.9 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 pedestrian-vehicle collision.

Documentation Requirements

Document the patient's condition, treatment provided, and any referrals made.

Specialty Considerations

Emergency medicine specialists should ensure that the visit level reflects the complexity of the case.

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 for public health reporting and injury prevention initiatives. V04.9 provides a mechanism for tracking pedestrian injuries related to heavy vehicles, which is critical for understanding trends and developing safety measures.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy for public health reporting and injury prevention initiatives. V04.9 provides a mechanism for tracking pedestrian injuries related to heavy vehicles, which is critical for understanding trends and developing safety measures.

Reimbursement & Billing Impact

reimbursement.

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 I document to support the use of V04.9?

Document the specifics of the incident, including the type of vehicle involved, the location of the accident, and the circumstances leading to the injury. This information is crucial for accurate coding and data analysis.