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ICD-10 Guide
ICD-10 CodesV04.10

V04.10

Billable

Pedestrian on foot injured in collision with heavy transport vehicle or bus in traffic accident

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

Code Description

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

Key Diagnostic Point:

The ICD-10 code V04.10 is used to classify injuries sustained by pedestrians who are struck by heavy transport vehicles or buses during traffic accidents. This code is crucial for capturing the external causes of morbidity and mortality associated with pedestrian accidents, which are significant public health concerns. Pedestrians are particularly vulnerable in traffic incidents, and injuries can range from minor abrasions to severe trauma, including fractures, head injuries, and internal injuries. Accurate coding of these incidents is essential for epidemiological studies, resource allocation, and injury prevention strategies. This code is typically used in emergency departments, trauma centers, and outpatient settings where initial assessments and treatments are documented. It is important to ensure that the circumstances of the accident are clearly documented to support the use of this code.

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 injury severity and treatment protocols

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Failure to link the external cause code to the primary diagnosis
  • Misclassification of the type of vehicle involved
  • Omission of co-existing injuries that should be coded

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, patient presentation, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with trauma after being struck by a bus or heavy vehicle, often requiring rapid assessment and intervention.

Billing Considerations

Consideration of the patient's pre-existing conditions and the potential for delayed symptoms following the initial injury.

Trauma Surgery

Documentation Requirements

Detailed surgical notes and trauma assessments must be recorded, including injury patterns and surgical interventions.

Common Clinical Scenarios

Patients with severe injuries requiring surgical intervention, such as fractures or internal bleeding, following a collision with a heavy vehicle.

Billing Considerations

Accurate coding of all injuries sustained is critical for surgical planning and post-operative care.

Coding Guidelines

Inclusion Criteria

Use V04.10 When
  • According to the ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the appropriate diagnosis codes
  • It is essential to document the circumstances of the injury, including the location, activity at the time of the accident, and the type of vehicle involved

Exclusion Criteria

Do NOT use V04.10 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 after being struck by a heavy vehicle.

Documentation Requirements

Documentation must include the patient's condition, treatment provided, and any referrals made.

Specialty Considerations

Emergency medicine specialists should ensure that all relevant details of the incident are captured.

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 for public health tracking and resource allocation. V04.10 provides a clear classification for pedestrian injuries involving heavy vehicles, which was less detailed in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy for public health tracking and resource allocation. V04.10 provides a clear classification for pedestrian injuries involving heavy vehicles, which was less detailed in ICD-9.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy for public health tracking and resource allocation. V04.10 provides a clear classification for pedestrian injuries involving heavy vehicles, which was less detailed in ICD-9.

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 V04.10?

Documentation should include the details of the accident, such as the type of vehicle involved, the location of the incident, and the patient's condition upon presentation. This information is critical for accurate coding and billing.