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v1.0.0
ICD-10 Guide
ICD-10 CodesV03.1

V03.1

Billable

Pedestrian injured in collision with car, pick-up truck or van in traffic accident

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

Code Description

ICD-10 V03.1 is a billable code used to indicate a diagnosis of pedestrian injured in collision with car, pick-up truck or van in traffic accident.

Key Diagnostic Point:

V03.1 is used to classify injuries sustained by pedestrians involved in traffic accidents with cars, pick-up trucks, or vans. This code is crucial for capturing the external cause of morbidity and mortality related to pedestrian accidents, which are significant public health concerns. Pedestrians are particularly vulnerable in traffic incidents due to their lack of protection compared to vehicle occupants. Common injuries may include fractures, contusions, and traumatic brain injuries, which can lead to long-term disability or death. Accurate coding of such incidents helps in understanding the epidemiology of pedestrian injuries, guiding preventive measures, and allocating resources for public health interventions. Documentation should include details about the circumstances of the accident, the type of vehicle involved, and the nature of the injuries sustained.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident circumstances
  • Differentiation between types of vehicles involved
  • Potential for multiple injuries requiring additional codes
  • Variability in state laws regarding pedestrian rights and vehicle operator responsibilities

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Failure to specify the type of vehicle involved
  • Incorrect linkage to primary diagnosis codes
  • Misclassification of the pedestrian's role in the accident

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, type of vehicle, and any pre-existing conditions that may affect treatment.

Common Clinical Scenarios

Patients presenting with fractures, lacerations, or head injuries following a pedestrian-vehicle collision.

Billing Considerations

Consideration of the patient's mental status and any potential intoxication that may have contributed to the accident.

Trauma Surgery

Documentation Requirements

Detailed trauma assessments, including injury severity scores and surgical interventions performed.

Common Clinical Scenarios

Severe injuries requiring surgical intervention, such as orthopedic repairs or neurosurgery.

Billing Considerations

Documentation of the mechanism of injury is critical for trauma registry submissions and quality reporting.

Coding Guidelines

Inclusion Criteria

Use V03.1 When
  • Follow the ICD
  • CM coding guidelines for external causes, ensuring that the code is used in conjunction with the appropriate injury codes
  • The external cause code should be reported in the secondary position after the primary diagnosis

Exclusion Criteria

Do NOT use V03.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a pedestrian injury requires emergency evaluation and treatment.

Documentation Requirements

Document the nature of the injury, treatment provided, and any referrals made.

Specialty Considerations

Emergency medicine specialists should ensure thorough documentation to support the level of service billed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of pedestrian injuries, improving data accuracy for public health tracking and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of pedestrian injuries, improving data accuracy for public health tracking and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of pedestrian injuries, improving data accuracy for public health tracking and resource allocation.

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 V03.1?

Documentation should include the details of the accident, the type of vehicle involved, the location of the incident, and the nature of the injuries sustained by the pedestrian.