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ICD-10 Guide
ICD-10 CodesV04.09

V04.09

Billable

Pedestrian with other 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 V04.09 is a billable code used to indicate a diagnosis of pedestrian with other conveyance injured in collision with heavy transport vehicle or bus in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V04.09 is used to classify injuries sustained by pedestrians using other conveyances, such as bicycles or scooters, when involved in a collision with heavy transport vehicles or buses outside of traditional traffic scenarios. This code is particularly relevant in cases where the accident occurs in nontraffic environments, such as private property, parking lots, or construction sites. Accurate coding is essential for understanding the epidemiology of such injuries, which can inform public health initiatives and safety regulations. Documentation should clearly indicate the circumstances of the accident, the type of conveyance involved, and the nature of the injuries sustained. This code helps in tracking injury patterns and developing preventive measures for vulnerable populations, including pedestrians using alternative modes of transport.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the specific type of conveyance involved
  • Clarifying the nontraffic nature of the accident
  • Accurate documentation of the circumstances surrounding the incident
  • Differentiating between traffic and nontraffic accidents

Audit Risk Factors

  • Inadequate documentation of the accident's circumstances
  • Misclassification of traffic vs. nontraffic incidents
  • Failure to specify the type of conveyance used
  • 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 specific injuries sustained. Clear notes on the location of the accident are crucial.

Common Clinical Scenarios

Patients presenting with fractures or soft tissue injuries after being struck by a bus while riding a bicycle in a parking lot.

Billing Considerations

Emergency physicians should ensure that all relevant details are captured to support accurate coding and billing.

Trauma Surgery

Documentation Requirements

Trauma documentation must include detailed descriptions of the injuries, the mechanism of injury, and any surgical interventions performed.

Common Clinical Scenarios

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

Billing Considerations

Trauma surgeons should collaborate with coders to ensure that all aspects of the injury are documented for accurate coding.

Coding Guidelines

Inclusion Criteria

Use V04.09 When
  • According to the ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to capture the full context of the injury, including the location and circumstances of the accident

Exclusion Criteria

Do NOT use V04.09 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 to the emergency department after a nontraffic accident.

Documentation Requirements

Documentation must include the reason for the visit, examination findings, and treatment provided.

Specialty Considerations

Emergency medicine specialists should ensure that all relevant details are captured to support accurate coding.

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 of injuries, improving data accuracy and facilitating better public health tracking and intervention strategies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy and facilitating better public health tracking and intervention strategies.

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 importance of accurately coding V04.09?

Accurate coding of V04.09 is crucial for understanding the epidemiology of pedestrian injuries in nontraffic accidents, which can inform public health initiatives and improve safety regulations.