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ICD-10 Guide
ICD-10 CodesV04.131

V04.131

Billable

Pedestrian on standing electric scooter 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 V04.131 is a billable code used to indicate a diagnosis of pedestrian on standing electric scooter injured in collision with heavy transport vehicle or bus in traffic accident.

Key Diagnostic Point:

This code is used to classify injuries sustained by pedestrians riding standing electric scooters who are involved in collisions with heavy transport vehicles or buses during traffic accidents. The increasing popularity of electric scooters has led to a rise in related injuries, particularly in urban areas where traffic density is high. Injuries can range from minor abrasions to severe trauma, including fractures, head injuries, and internal injuries, depending on the speed of the vehicle and the circumstances of the collision. Accurate coding is essential for tracking injury patterns, facilitating research on traffic safety, and informing public health initiatives aimed at reducing such incidents. Documentation should include details about the circumstances of the accident, the type of scooter involved, and the nature of the injuries sustained.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in injury severity and types of injuries sustained.
  • Need for precise documentation of the accident circumstances.
  • Differentiation from other pedestrian-related codes.
  • Potential for multiple external cause codes to be applicable.

Audit Risk Factors

  • Inadequate documentation of the accident details.
  • Failure to specify the type of vehicle involved.
  • Misclassification of the injury type or severity.
  • Inconsistent coding practices among different coders.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, including the type of scooter and vehicle involved, as well as the patient's condition upon arrival.

Common Clinical Scenarios

Patients presenting with head trauma, fractures, or lacerations after being struck by a bus or heavy vehicle while riding an electric scooter.

Billing Considerations

Consideration of potential underlying conditions that may affect injury outcomes, such as pre-existing neurological conditions.

Trauma Surgery

Documentation Requirements

Detailed trauma assessments and surgical notes must include the mechanism of injury and specific injuries sustained.

Common Clinical Scenarios

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

Billing Considerations

Documentation should reflect the severity of injuries and any complications arising from the accident.

Coding Guidelines

Inclusion Criteria

Use V04.131 When
  • Coders should refer to the official ICD
  • CM coding guidelines, ensuring that the external cause codes are sequenced correctly, typically following the injury codes
  • The circumstances of the accident must be clearly documented to support the use of this specific code

Exclusion Criteria

Do NOT use V04.131 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, level 3

Clinical Scenario

Used for patients presenting with moderate severity injuries from scooter accidents.

Documentation Requirements

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

Specialty Considerations

Emergency medicine specialists should ensure that all relevant details of the accident 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 injuries related to electric scooters, enabling better tracking of injury patterns and facilitating targeted public health interventions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries related to electric scooters, enabling better tracking of injury patterns and facilitating targeted public health interventions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries related to electric scooters, enabling better tracking of injury patterns and facilitating targeted public health interventions.

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 documentation is required to use V04.131?

Documentation must include details about the accident, the type of electric scooter involved, the nature of the injuries sustained, and any relevant patient history.