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ICD-10 Guide
ICD-10 CodesV04.92

V04.92

Billable

Pedestrian on skateboard 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 V04.92 is a billable code used to indicate a diagnosis of pedestrian on skateboard injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V04.92 is used to classify injuries sustained by a pedestrian riding a skateboard who is involved in a collision with a heavy transport vehicle or bus. This code is particularly relevant in urban settings where skateboarding is common, and it captures incidents that may occur on roadways or in non-traffic areas such as parking lots. The code does not specify whether the incident occurred in a traffic context or not, which can complicate the coding process. Accurate documentation of the circumstances surrounding the injury is crucial for proper coding and billing. This code is essential for public health data collection, as it helps identify trends in injuries related to skateboarding and heavy vehicles, informing safety initiatives and policy decisions aimed at reducing such incidents.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity regarding traffic vs. nontraffic accident status
  • Need for detailed documentation of the incident
  • Potential for multiple external cause codes to be applicable
  • Variability in local traffic laws and definitions of pedestrian areas

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Failure to specify whether the incident was traffic-related
  • Misclassification of the type of vehicle involved
  • Inconsistent coding practices across different providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, location of the incident, and any witness statements if available.

Common Clinical Scenarios

Patients presenting with fractures, lacerations, or concussions after being struck by a vehicle while skateboarding.

Billing Considerations

Emergency physicians should ensure that all relevant details are captured in the medical record to support the use of this code.

Trauma Surgery

Documentation Requirements

Trauma surgeons need to document the specifics of the injury, including the type of transport vehicle involved and the circumstances leading to the collision.

Common Clinical Scenarios

Trauma cases involving severe injuries from collisions, requiring surgical intervention.

Billing Considerations

Accurate coding is critical for trauma cases, as it impacts treatment protocols and potential research outcomes.

Coding Guidelines

Inclusion Criteria

Use V04.92 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to capture the full context of the injury, including the location and circumstances, to ensure accurate coding

Exclusion Criteria

Do NOT use V04.92 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

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

Specialty Considerations

Emergency medicine providers should ensure thorough documentation to support the level of service billed.

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 involving skateboards and heavy vehicles. This specificity aids in better tracking of injury trends and enhances public health data collection.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those involving skateboards and heavy vehicles. This specificity aids in better tracking of injury trends and enhances public health data collection.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those involving skateboards and heavy vehicles. This specificity aids in better tracking of injury trends and enhances public health data collection.

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 V04.92?

Document the specifics of the incident, including the type of vehicle involved, the location of the accident, and any details about the skateboarder's actions leading up to the collision.