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v1.0.0
ICD-10 Guide
ICD-10 CodesV04.931

V04.931

Billable

Pedestrian on standing electric scooter 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 V04.931 is a billable code used to indicate a diagnosis of pedestrian on standing electric scooter 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 riding standing electric scooters involved in collisions with heavy transport vehicles or buses. The code does not specify whether the incident occurred in a traffic or nontraffic context, which can complicate the coding process. Clinical scenarios may include urban environments where electric scooters are commonly used, and pedestrians may be at risk of injury from larger vehicles. Accurate documentation of the circumstances surrounding the incident, including the location and type of vehicle involved, is crucial for proper coding. This code is particularly relevant in the context of increasing scooter usage in urban areas, where safety concerns and injury rates are rising. Understanding the external cause of morbidity and mortality related to such incidents is essential for public health professionals aiming to develop safety regulations and preventive measures.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity regarding traffic vs. nontraffic classification
  • Need for detailed documentation of the incident
  • Variability in local laws regarding scooter usage
  • Potential for multiple injuries requiring additional codes

Audit Risk Factors

  • Inadequate documentation of the incident details
  • Misclassification of traffic vs. nontraffic accidents
  • Failure to capture all injuries sustained
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, the type of vehicle involved, and the patient's condition upon arrival.

Common Clinical Scenarios

Patients presenting with fractures, lacerations, or head injuries after being struck by a bus or heavy vehicle while on a scooter.

Billing Considerations

Consideration of the patient's prior medical history and any pre-existing conditions that may affect recovery.

Trauma Surgery

Documentation Requirements

Trauma surgeons need detailed accounts of the injury mechanism, including speed of the vehicle and impact location on the body.

Common Clinical Scenarios

Severe injuries requiring surgical intervention, such as pelvic fractures or traumatic brain injuries.

Billing Considerations

Documentation should include any surgical procedures performed and the patient's response to treatment.

Coding Guidelines

Inclusion Criteria

Use V04.931 When
  • Coders should refer to the official ICD
  • CM coding guidelines, particularly those related to external causes of morbidity
  • Accurate coding requires understanding the context of the injury, including the environment and circumstances leading to the accident

Exclusion Criteria

Do NOT use V04.931 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 scooter accident.

Documentation Requirements

Document the patient's presenting symptoms, examination findings, and any treatments provided.

Specialty Considerations

Emergency medicine specialists should ensure that all relevant details of the incident are captured.

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 collection and analysis for public health initiatives related to scooter safety.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data collection and analysis for public health initiatives related to scooter safety.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data collection and analysis for public health initiatives related to scooter safety.

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 V04.931?

Document the specifics of the incident, including the type of vehicle involved, the location of the accident, and the patient's injuries. This information is crucial for accurate coding and billing.