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ICD-10 Guide
ICD-10 CodesV02.91

V02.91

Billable

Pedestrian on roller-skates injured in collision with two- or three-wheeled motor vehicle, unspecified whether traffic or nontraffic accident

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

Code Description

ICD-10 V02.91 is a billable code used to indicate a diagnosis of pedestrian on roller-skates injured in collision with two- or three-wheeled motor vehicle, unspecified whether traffic or nontraffic accident.

Key Diagnostic Point:

The V02.91 code is used to classify injuries sustained by pedestrians on roller-skates involved in collisions with two- or three-wheeled motor vehicles. This code is particularly relevant in scenarios where the circumstances of the accident are not clearly defined as either traffic-related or nontraffic-related. Such incidents can occur in various environments, including urban settings where pedestrians may be skating on sidewalks or in parks. The injuries can range from minor abrasions to severe trauma, depending on the speed of the vehicle and the nature of the collision. Accurate coding is essential for understanding the epidemiology of such injuries, which can inform public health initiatives aimed at improving safety for pedestrians and roller-skating enthusiasts. Documentation should include details about the environment, the nature of the collision, and the injuries sustained to ensure proper coding and analysis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in determining whether the incident is traffic or nontraffic-related.
  • Variability in documentation quality regarding the circumstances of the accident.
  • Potential for multiple injuries requiring additional codes.
  • Need for precise details about the type of vehicle involved.

Audit Risk Factors

  • Inadequate documentation of the accident's circumstances.
  • Failure to specify the type of vehicle involved.
  • Misclassification of the incident as traffic or nontraffic.
  • Inconsistent coding practices among different coders.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, the patient's condition upon arrival, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with lacerations, fractures, or contusions after being struck by a motor vehicle while roller-skating.

Billing Considerations

Ensure that the documentation specifies whether the incident occurred on a public road or private property, as this may affect coding.

Trauma Surgery

Documentation Requirements

Operative reports must detail the injuries sustained, surgical interventions performed, and the mechanism of injury.

Common Clinical Scenarios

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

Billing Considerations

Consider the potential for multiple injuries and the need for additional external cause codes.

Coding Guidelines

Inclusion Criteria

Use V02.91 When
  • Follow the ICD
  • CM coding guidelines for external causes of morbidity
  • Ensure that the code is used in conjunction with the appropriate injury codes to provide a complete picture of the patient's condition
  • Document the circumstances of the injury clearly to support the use of this code

Exclusion Criteria

Do NOT use V02.91 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 with injuries from a collision.

Documentation Requirements

Document the patient's condition, treatment provided, and any referrals made.

Specialty Considerations

Emergency medicine providers should ensure that the visit is coded accurately 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, improving data collection and analysis for public health initiatives. This code provides a clearer understanding of the risks associated with roller-skating injuries.

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. This code provides a clearer understanding of the risks associated with roller-skating injuries.

Reimbursement & Billing Impact

reimbursement and for tracking injury trends.

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 V02.91?

Document the specifics of the accident, including the type of vehicle involved, the environment where the incident occurred, and the injuries sustained. This information is crucial for accurate coding and billing.