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ICD-10 Guide
ICD-10 CodesV04.91

V04.91

Billable

Pedestrian on roller-skates 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 V04.91 is a billable code used to indicate a diagnosis of pedestrian on roller-skates injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V04.91 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. This code is particularly relevant in scenarios where the circumstances of the accident are unclear, whether it occurred on a public roadway or in a non-traffic environment. Injuries may range from minor abrasions to severe trauma, including fractures or head injuries, depending on the speed and weight of the vehicle involved. Accurate coding is essential for tracking injury patterns, understanding public health implications, and ensuring appropriate resource allocation for trauma care. Documentation should include details about the incident, the type of vehicle involved, and the nature of the injuries sustained to support the use of this specific external cause code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in determining whether the incident was traffic or nontraffic-related.
  • Variability in injury severity and types, requiring detailed documentation.
  • Need for precise documentation of the circumstances surrounding the accident.
  • Potential for misclassification if the type of vehicle is not clearly identified.

Audit Risk Factors

  • Inadequate documentation of the circumstances of the accident.
  • Failure to specify the type of vehicle involved.
  • Misclassification of the accident type (traffic vs. nontraffic).
  • Inconsistent coding practices among different coders.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly describe the mechanism of injury, type of vehicle, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with lacerations, fractures, or head injuries after being struck by a bus or heavy vehicle while roller-skating.

Billing Considerations

Ensure that all relevant details are captured in the medical record to support the use of V04.91.

Trauma Surgery

Documentation Requirements

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

Common Clinical Scenarios

Severe trauma cases requiring surgical intervention after a collision with a heavy vehicle.

Billing Considerations

Accurate coding is critical for trauma registry data and for understanding injury patterns in the population.

Coding Guidelines

Inclusion Criteria

Use V04.91 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to document the circumstances of the injury thoroughly, including the location and type of vehicle involved

Exclusion Criteria

Do NOT use V04.91 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a patient presents with significant injuries from a collision.

Documentation Requirements

Detailed documentation of 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 of injuries, including those related to roller-skating accidents. This specificity aids in better tracking and understanding of injury patterns in public health.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those related to roller-skating accidents. This specificity aids in better tracking and understanding of injury patterns in public health.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those related to roller-skating accidents. This specificity aids in better tracking and understanding of injury patterns in public health.

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 V04.91?

You should document the specifics of the accident, including the type of vehicle involved, the location of the incident, and the nature of the injuries sustained. This information is critical for accurate coding and billing.