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ICD-10 Guide
ICD-10 CodesV04.138

V04.138

Billable

Pedestrian on other standing micro-mobility pedestrian conveyance 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 V04.138 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 traffic 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. The increasing popularity of micro-mobility options has led to a rise in related accidents, necessitating accurate coding for public health tracking and resource allocation. Injuries can range from minor abrasions to severe trauma, including fractures and head injuries. Proper documentation of the circumstances surrounding the incident, including the type of conveyance and the nature of the collision, is crucial for accurate coding and analysis of trends in pedestrian safety.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of micro-mobility conveyances.
  • Identifying the specific circumstances of the collision.
  • Understanding the nuances of external cause coding.
  • Ensuring accurate documentation of the event leading to injury.

Audit Risk Factors

  • Inadequate documentation of the type of micro-mobility conveyance.
  • Failure to specify the nature of the collision.
  • Misclassification of the external cause of injury.
  • Lack of clarity in the circumstances leading to the accident.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed accounts of the accident, including time, location, and mechanism of injury.

Common Clinical Scenarios

Patients presenting with trauma after being struck by a bus while using an e-scooter.

Billing Considerations

Consideration of potential head injuries and the need for imaging studies.

Trauma Surgery

Documentation Requirements

Comprehensive trauma assessments and surgical notes detailing injuries sustained.

Common Clinical Scenarios

Severe injuries requiring surgical intervention following a collision.

Billing Considerations

Documentation of all injuries and their mechanisms to support coding.

Coding Guidelines

Inclusion Criteria

Use V04.138 When
  • Follow the ICD
  • CM guidelines for external cause codes, ensuring that the code is used in conjunction with the appropriate injury codes
  • Document the circumstances of the accident thoroughly to support the use of this specific code

Exclusion Criteria

Do NOT use V04.138 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 with significant injuries from a collision.

Documentation Requirements

Document the nature of the injuries and the mechanism of the accident.

Specialty Considerations

Emergency medicine specialists should ensure thorough documentation to support the visit level.

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, enabling better tracking of injuries related to micro-mobility conveyances and informing public health initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more granular coding of external causes, enabling better tracking of injuries related to micro-mobility conveyances and informing public health initiatives.

Reimbursement & Billing Impact

reimbursement.

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 covered under V04.138?

V04.138 covers 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.