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ICD-10 Guide
ICD-10 CodesV04.12

V04.12

Billable

Pedestrian on skateboard 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 V04.12 is a billable code used to indicate a diagnosis of pedestrian on skateboard injured in collision with heavy transport vehicle or bus in traffic accident.

Key Diagnostic Point:

The ICD-10 code V04.12 is used to classify injuries sustained by a pedestrian riding a skateboard who is involved in a collision with a heavy transport vehicle or bus during a traffic accident. This code is essential for capturing the external cause of morbidity and mortality associated with such incidents. The injuries can range from minor abrasions to severe trauma, including fractures, head injuries, and internal injuries, depending on the speed and size of the vehicle involved. Accurate coding is crucial for public health data collection, resource allocation, and injury prevention strategies. This code is particularly relevant in urban settings where skateboard use is common, and traffic accidents involving larger vehicles pose significant risks to vulnerable road users. Documentation should include details about the circumstances of the accident, the type of skateboard, and the nature of the injuries sustained to ensure precise coding and appropriate treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for detailed documentation of the accident circumstances
  • Variability in injury severity and types
  • Potential for multiple external cause codes to be applicable
  • Differentiation between types of vehicles involved

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Misclassification of the type of vehicle involved
  • Failure to capture all relevant external cause codes
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, patient presentation, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with head trauma, fractures, or lacerations following a skateboard accident involving a heavy vehicle.

Billing Considerations

Ensure that all relevant details about the accident are captured, including the time, location, and conditions at the time of the incident.

Trauma Surgery

Documentation Requirements

Trauma notes must include a detailed account of the injuries sustained, surgical interventions, and any complications arising from the accident.

Common Clinical Scenarios

Trauma cases involving multiple injuries from a collision, requiring surgical intervention or intensive care.

Billing Considerations

Consider the potential for associated injuries that may not be immediately apparent, necessitating thorough evaluation and documentation.

Coding Guidelines

Inclusion Criteria

Use V04.12 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is essential to report the external cause code in the secondary position to the primary diagnosis code that reflects the injury sustained

Exclusion Criteria

Do NOT use V04.12 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 significant injuries from a skateboard accident.

Documentation Requirements

Documentation must support the level of service billed, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine providers should ensure that all relevant details of the injury and treatment are documented.

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 responses to injury prevention.

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 responses to injury prevention.

Reimbursement & Billing Impact

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

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 V04.12?

Documentation should include the details of the accident, the type of skateboard, the nature of the injuries sustained, and any relevant environmental factors that may have contributed to the incident.