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ICD-10 Guide
ICD-10 CodesV03.99

V03.99

Billable

Pedestrian with other conveyance injured in collision with car, pick-up truck or van, unspecified whether traffic or nontraffic accident

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

Code Description

ICD-10 V03.99 is a billable code used to indicate a diagnosis of pedestrian with other conveyance injured in collision with car, pick-up truck or van, unspecified whether traffic or nontraffic accident.

Key Diagnostic Point:

The V03.99 code is used to classify injuries sustained by pedestrians using other conveyances, such as bicycles, scooters, or wheelchairs, when involved in a collision with a car, pick-up truck, or van. This code is particularly relevant in scenarios where the specifics of the accident (traffic vs. nontraffic) are not clearly defined. It captures a significant public health concern, as pedestrian injuries are a leading cause of morbidity and mortality. Accurate coding is essential for understanding the epidemiology of such incidents, guiding preventive measures, and allocating resources effectively. Clinicians must document the circumstances of the accident, including the type of conveyance used and the nature of the collision, to ensure proper coding and facilitate appropriate care and follow-up.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in determining traffic vs. nontraffic accident
  • Variability in documentation quality from different providers
  • Need for specificity regarding the type of conveyance used
  • Potential for misclassification if details are insufficient

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Failure to specify the type of conveyance used
  • Misclassification of traffic vs. nontraffic incidents
  • Inconsistent coding practices among different providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, type of conveyance, and any relevant witness statements to support the coding.

Common Clinical Scenarios

Patients presenting with fractures, lacerations, or contusions after being struck while using a bicycle or scooter.

Billing Considerations

Ensure that the documentation clearly differentiates between traffic and nontraffic incidents to avoid coding errors.

Trauma Surgery

Documentation Requirements

Trauma surgeons should document the injury patterns, mechanism of injury, and any pre-existing conditions that may affect recovery.

Common Clinical Scenarios

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

Billing Considerations

Accurate coding is crucial for trauma registries and quality improvement initiatives.

Coding Guidelines

Inclusion Criteria

Use V03.99 When
  • Coders should refer to the ICD
  • CM Official Guidelines for Coding and Reporting, particularly Section I
  • 19 for external cause codes
  • It is essential to capture the most specific code available and to use additional codes to describe the nature of the injury

Exclusion Criteria

Do NOT use V03.99 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, level 3

Clinical Scenario

Used for patients presenting with moderate injuries from a pedestrian collision.

Documentation Requirements

Document the nature of the injury, treatment provided, and any follow-up care.

Specialty Considerations

Emergency medicine providers 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 external causes, improving data quality and enabling better tracking of pedestrian injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data quality and enabling better tracking of pedestrian injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data quality and enabling better tracking of pedestrian injuries.

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 V03.99?

Document the type of conveyance used, the circumstances of the accident, and any witness statements or police reports that clarify the context of the injury.