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v1.0.0
ICD-10 Guide
ICD-10 CodesV04.0

V04.0

Billable

Pedestrian injured in collision with heavy transport vehicle or bus in nontraffic accident

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

Code Description

ICD-10 V04.0 is a billable code used to indicate a diagnosis of pedestrian injured in collision with heavy transport vehicle or bus in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V04.0 is used to classify injuries sustained by pedestrians who are involved in collisions with heavy transport vehicles or buses in nontraffic accidents. These incidents may occur in various settings, such as parking lots, construction sites, or private property, where vehicles are in operation but not on public roadways. The injuries can range from minor bruises to severe trauma, including fractures, head injuries, or even fatalities. Accurate coding of such incidents is crucial for understanding the epidemiology of pedestrian injuries, facilitating appropriate treatment, and ensuring proper resource allocation for public health initiatives aimed at reducing such accidents. Documentation must clearly indicate the circumstances of the accident, including the location and nature of the vehicle involved, to support the use of this specific external cause code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact nature of the accident (nontraffic vs. traffic)
  • Identifying the type of vehicle involved (heavy transport vs. light vehicle)
  • Documenting the location of the incident accurately
  • Differentiating between pedestrian injuries and other types of injuries

Audit Risk Factors

  • Inadequate documentation of the accident's circumstances
  • Misclassification of the vehicle type involved
  • Failure to specify the location of the incident
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must include details of the accident, type of vehicle, and specific injuries sustained.

Common Clinical Scenarios

Patients presenting with injuries from being struck by a bus in a parking lot or construction site.

Billing Considerations

Ensure that the mechanism of injury is clearly documented to support the use of V04.0.

Trauma Surgery

Documentation Requirements

Trauma notes should detail the mechanism of injury, type of transport vehicle, and any surgical interventions performed.

Common Clinical Scenarios

Trauma cases involving severe injuries from collisions with heavy vehicles.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use V04.0 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the external cause code is reported in conjunction with the appropriate injury codes
  • The external cause code should be sequenced after the injury code

Exclusion Criteria

Do NOT use V04.0 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 severe injuries from a nontraffic accident.

Documentation Requirements

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

Specialty Considerations

Emergency medicine specialists should ensure thorough documentation to support the visit level.

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 accuracy and facilitating better tracking of injury patterns and prevention efforts.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy and facilitating better tracking of injury patterns and prevention efforts.

Reimbursement & Billing Impact

reimbursement and compliance.

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 is the difference between V04.0 and V03.0?

V04.0 is specifically for nontraffic accidents involving pedestrians and heavy transport vehicles, while V03.0 pertains to traffic-related incidents involving cars.