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ICD-10 Guide
ICD-10 CodesV04.038

V04.038

Billable

Pedestrian on other standing micro-mobility pedestrian conveyance 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 V04.038 is a billable code used to indicate a diagnosis of pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus in nontraffic accident.

Key Diagnostic Point:

This code is used to classify injuries sustained by pedestrians using standing micro-mobility conveyances, such as e-scooters or standing electric bikes, when involved in a collision with heavy transport vehicles or buses outside of traditional traffic scenarios. Nontraffic accidents may occur in various environments, including private property, parking lots, or pedestrian zones. The injuries can range from minor abrasions to severe trauma, depending on the speed of the vehicle and the circumstances of the accident. Accurate coding is essential for tracking injury patterns, understanding public health implications, and ensuring appropriate resource allocation for injury prevention programs.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the specific type of micro-mobility conveyance used.
  • Identifying the location of the accident (nontraffic vs. traffic).
  • Differentiating between types of vehicles involved (heavy transport vs. light vehicles).
  • Documenting the nature and extent of injuries accurately.

Audit Risk Factors

  • Inadequate documentation of the accident's circumstances.
  • Misclassification of the type of conveyance involved.
  • Failure to specify the location of the accident.
  • Inconsistent coding practices across different healthcare providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed notes on the mechanism of injury, type of conveyance, and patient presentation.

Common Clinical Scenarios

Patients presenting with fractures, lacerations, or concussions after being struck by a bus while using a standing scooter.

Billing Considerations

Ensure that the external cause is clearly linked to the injury in the documentation to support the use of V04.038.

Trauma Surgery

Documentation Requirements

Comprehensive trauma assessments, including injury severity scores and detailed descriptions of the accident.

Common Clinical Scenarios

Severe injuries requiring surgical intervention due to collisions with heavy vehicles.

Billing Considerations

Accurate coding is crucial for trauma registries and research purposes; ensure all relevant details are captured.

Coding Guidelines

Inclusion Criteria

Use V04.038 When
  • Follow the ICD
  • CM Official Guidelines for Coding and Reporting, particularly those related to external causes of morbidity
  • Ensure that the external cause code is sequenced correctly with the primary diagnosis code

Exclusion Criteria

Do NOT use V04.038 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 to the emergency department with severe injuries from a nontraffic accident.

Documentation Requirements

Document the mechanism of injury, vital signs, and any interventions performed.

Specialty Considerations

Emergency medicine specialists should ensure that the external cause is clearly linked to the visit.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more granular coding of external causes, improving data collection and analysis for public health initiatives related to micro-mobility injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more granular coding of external causes, improving data collection and analysis for public health initiatives related to micro-mobility injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more granular coding of external causes, improving data collection and analysis for public health initiatives related to micro-mobility 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 types of injuries are typically associated with this code?

Injuries can range from minor abrasions and contusions to severe fractures and traumatic brain injuries, depending on the circumstances of the collision.