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ICD-10 Guide
ICD-10 CodesV04.938

V04.938

Billable

Pedestrian on other standing micro-mobility pedestrian conveyance 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 V04.938 is a billable code used to indicate a diagnosis of pedestrian on other standing micro-mobility pedestrian conveyance 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 using standing micro-mobility devices, such as e-scooters or standing bicycles, when involved in a collision 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. Accurate documentation is crucial to determine the circumstances of the accident, including the environment (urban vs. rural), time of day, and whether the pedestrian was following traffic laws. This code is particularly relevant in urban settings where micro-mobility devices are increasingly popular, and the risk of collisions with larger vehicles is heightened. Understanding the context of the injury is essential for public health professionals to analyze trends in micro-mobility-related injuries and develop preventive measures.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in determining traffic vs. nontraffic accident status
  • Need for detailed documentation of the incident context
  • Variability in micro-mobility device types and their classifications
  • Potential overlap with other external cause codes

Audit Risk Factors

  • Insufficient documentation of the accident context
  • Failure to specify the type of micro-mobility device used
  • Inaccurate coding of traffic vs. nontraffic incidents
  • Lack of clarity in the medical record regarding the circumstances of the injury

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include details about the mechanism of injury, the type of micro-mobility device, and the circumstances surrounding the collision.

Common Clinical Scenarios

Patients presenting with fractures, contusions, or lacerations after being struck by a bus while using an e-scooter.

Billing Considerations

Emergency providers should ensure that all relevant details are captured to support accurate coding and facilitate public health reporting.

Trauma Surgery

Documentation Requirements

Trauma documentation must detail the injury patterns, mechanism of injury, and any pre-existing conditions that may affect treatment.

Common Clinical Scenarios

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

Billing Considerations

Trauma surgeons should be aware of the specific external cause codes to ensure comprehensive injury documentation.

Coding Guidelines

Inclusion Criteria

Use V04.938 When
  • Coders should refer to the official ICD
  • CM coding guidelines, particularly those related to external cause codes
  • It is essential to capture the full context of the injury, including the environment and circumstances, to ensure accurate coding

Exclusion Criteria

Do NOT use V04.938 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, level 3

Clinical Scenario

Used when a patient presents to the emergency department with injuries from a collision.

Documentation Requirements

Documentation must support the level of service, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine providers should ensure that the external cause code is linked to the appropriate visit level.

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 micro-mobility devices. This specificity aids in better tracking and understanding of injury patterns, which can inform public health initiatives.

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 micro-mobility devices. This specificity aids in better tracking and understanding of injury patterns, which can inform public health initiatives.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those related to micro-mobility devices. This specificity aids in better tracking and understanding of injury patterns, which can inform public health initiatives.

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 be documented to support the use of V04.938?

Documentation should include the type of micro-mobility device, the circumstances of the collision, whether it was a traffic or nontraffic incident, and any relevant environmental factors.