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ICD-10 Guide
ICD-10 CodesV09.1

V09.1

Billable

Pedestrian injured in unspecified nontraffic accident

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 V09.1 is a billable code used to indicate a diagnosis of pedestrian injured in unspecified nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V09.1 is used to classify injuries sustained by pedestrians in accidents that do not occur on public roadways or involve motor vehicles. This code is particularly relevant in cases where the circumstances of the accident are not clearly defined, such as injuries occurring in private property, during recreational activities, or in other non-traffic environments. Common scenarios may include a pedestrian being struck by a falling object, tripping over uneven surfaces, or being involved in an accident during a community event. Accurate coding is essential for understanding the epidemiology of pedestrian injuries and for implementing public health interventions aimed at reducing such incidents. Documentation should include details about the location, circumstances, and nature of the injury to support the use of this code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in accident circumstances
  • Variability in documentation quality
  • Need for specificity in injury details
  • Potential overlap with other external cause codes

Audit Risk Factors

  • Inadequate documentation of accident details
  • Misclassification of traffic vs. nontraffic incidents
  • Failure to specify the nature of the injury
  • Inconsistent coding practices among providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, location, and any contributing factors to accurately assign V09.1.

Common Clinical Scenarios

Patients presenting with fractures or soft tissue injuries after falling or being struck while walking in a park or private property.

Billing Considerations

Emergency providers 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 trauma and the circumstances surrounding the incident.

Common Clinical Scenarios

Trauma cases involving pedestrians injured by objects falling from heights or during sports activities.

Billing Considerations

Accurate coding is critical for trauma registries and for tracking injury patterns in the community.

Coding Guidelines

Inclusion Criteria

Use V09.1 When
  • Coders should refer to the official ICD
  • CM coding guidelines, which emphasize the importance of specificity and detail in documenting external causes of injury
  • The guidelines also recommend using additional codes to capture the nature of the injury

Exclusion Criteria

Do NOT use V09.1 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 nontraffic accident.

Documentation Requirements

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

Specialty Considerations

Emergency medicine providers should ensure that the visit is appropriately coded based on 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 pedestrian injuries in nontraffic accidents. This specificity aids in better tracking and understanding of injury patterns.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including pedestrian injuries in nontraffic accidents. This specificity aids in better tracking and understanding of injury patterns.

Reimbursement & Billing Impact

reimbursement.

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 use V09.1 accurately?

Document the specifics of the accident, including the location, mechanism of injury, and any contributing factors. Ensure that the details are clear and comprehensive to support the use of this code.