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v1.0.0
ICD-10 Guide
ICD-10 CodesV04.90

V04.90

Billable

Pedestrian on foot 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 V04.90 is a billable code used to indicate a diagnosis of pedestrian on foot 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 who are struck by heavy transport vehicles or buses. It is essential for capturing the external cause of morbidity and mortality associated with such incidents, which can occur in both traffic and nontraffic contexts. The code does not specify the circumstances of the accident, making it applicable in various scenarios, including urban environments where pedestrians may be involved in accidents with buses or trucks. Accurate coding is crucial for public health data collection, injury prevention strategies, and resource allocation for trauma care. Documentation should include details about the incident, the type of vehicle involved, and the circumstances surrounding the injury to ensure proper coding and analysis of trends in pedestrian safety.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in determining whether the incident was traffic or nontraffic-related.
  • Variability in documentation quality regarding the circumstances of the accident.
  • Potential overlap with other external cause codes that may apply.
  • Need for precise details about the type of vehicle involved.

Audit Risk Factors

  • Inadequate documentation of the accident circumstances.
  • Failure to specify the type of vehicle involved.
  • Misclassification of traffic vs. nontraffic incidents.
  • Inconsistent use of external cause codes across different providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, type of vehicle, and any relevant environmental factors.

Common Clinical Scenarios

Patients presenting with fractures, contusions, or lacerations after being struck by a bus or truck.

Billing Considerations

Emergency physicians should ensure that the documentation reflects the external cause accurately to support appropriate coding.

Trauma Surgery

Documentation Requirements

Trauma surgeons need detailed accounts of the injury mechanism, including the vehicle type and impact details.

Common Clinical Scenarios

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

Billing Considerations

Accurate coding is critical for trauma registries and for understanding injury patterns in pedestrian accidents.

Coding Guidelines

Inclusion Criteria

Use V04.90 When
  • According to ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to report the external cause code to provide context for the injury and to follow the guidelines for sequencing codes appropriately

Exclusion Criteria

Do NOT use V04.90 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 after being struck by a heavy vehicle.

Documentation Requirements

Documentation must include details of the injury and the mechanism of the accident.

Specialty Considerations

Emergency medicine specialists should ensure that the visit is coded accurately based on the severity of the injury.

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 for public health reporting and injury prevention efforts. This specificity aids in identifying trends and developing targeted interventions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy for public health reporting and injury prevention efforts. This specificity aids in identifying trends and developing targeted interventions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy for public health reporting and injury prevention efforts. This specificity aids in identifying trends and developing targeted interventions.

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 V04.90?

Document the specifics of the incident, including the type of vehicle involved, the location of the accident, and any relevant details about the pedestrian's actions at the time of the collision.