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ICD-10 Guide
ICD-10 CodesV04.99

V04.99

Billable

Pedestrian with other 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 V04.99 is a billable code used to indicate a diagnosis of pedestrian with other conveyance injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident.

Key Diagnostic Point:

The V04.99 code is utilized to classify injuries sustained by pedestrians using other conveyances, such as bicycles or scooters, when involved in a collision with heavy transport vehicles or buses. This code is particularly relevant in scenarios where the circumstances of the accident are not clearly defined as either traffic-related or non-traffic-related. It captures a range of potential injuries, from minor abrasions to severe trauma, and is essential for understanding the epidemiology of pedestrian injuries in various contexts. Accurate coding is crucial for public health data collection, resource allocation, and injury prevention strategies. Clinicians must ensure that the documentation reflects the specifics of the incident, including the type of conveyance used and the nature of the collision, to support the use of this code effectively.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in determining traffic vs. non-traffic accident
  • Variety of conveyances that may be involved
  • Need for detailed documentation of the incident
  • Potential for multiple injuries requiring additional codes

Audit Risk Factors

  • Inadequate documentation of the incident specifics
  • Misclassification of traffic vs. non-traffic accidents
  • Failure to capture all injuries sustained
  • Inconsistent coding practices across providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must clearly describe the mechanism of injury, type of conveyance, and any relevant witness statements.

Common Clinical Scenarios

Patients presenting with fractures, lacerations, or contusions after being struck by a bus while riding a bicycle.

Billing Considerations

Ensure that the documentation specifies whether the incident occurred on a public roadway or private property.

Trauma Surgery

Documentation Requirements

Trauma registries require detailed descriptions of the injury mechanism, including the type of transport vehicle involved.

Common Clinical Scenarios

Severe trauma cases where patients are admitted after being hit by a heavy vehicle while using a scooter.

Billing Considerations

Consider the need for additional codes to capture associated injuries and the context of the accident.

Coding Guidelines

Inclusion Criteria

Use V04.99 When
  • Follow the ICD
  • CM coding guidelines for external causes of morbidity, ensuring that the code is used in conjunction with the appropriate injury codes
  • Document the circumstances of the accident thoroughly to support the use of V04

Exclusion Criteria

Do NOT use V04.99 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 to the emergency department with injuries from a collision.

Documentation Requirements

Document the nature of the injuries, mechanism of injury, and any treatments provided.

Specialty Considerations

Emergency medicine providers should ensure that the visit is coded accurately based on the severity of the injuries.

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 collection and analysis for public health initiatives.

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data collection and analysis for 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

When should I use V04.99?

Use V04.99 when documenting injuries sustained by a pedestrian using other conveyances involved in a collision with a heavy transport vehicle or bus, and the specifics of the accident are unclear.