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ICD-10 Guide
ICD-10 CodesV06.1

V06.1

Billable

Pedestrian injured in collision with other nonmotor vehicle in traffic accident

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

Code Description

ICD-10 V06.1 is a billable code used to indicate a diagnosis of pedestrian injured in collision with other nonmotor vehicle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V06.1 is used to classify injuries sustained by pedestrians involved in collisions with nonmotor vehicles, such as bicycles, scooters, or other non-motorized transport, during traffic accidents. This code is essential for capturing the external causes of morbidity and mortality related to pedestrian injuries. Accurate coding is crucial for public health data collection, resource allocation, and understanding the epidemiology of traffic-related injuries. Clinicians and coders must ensure that the circumstances of the accident are well-documented, including the type of nonmotor vehicle involved and the nature of the pedestrian's injuries. This code is particularly relevant in urban settings where pedestrian traffic is high and can help inform safety initiatives and policy decisions aimed at reducing pedestrian injuries in traffic environments.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the type of nonmotor vehicle involved.
  • Differentiation between various types of pedestrian injuries.
  • Understanding of traffic accident dynamics.
  • Potential for multiple external cause codes to be applicable.

Audit Risk Factors

  • Inadequate documentation of the accident circumstances.
  • Failure to specify the type of nonmotor vehicle involved.
  • Incorrect assignment of codes due to lack of clarity in clinical notes.
  • Multiple external cause codes leading to confusion.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must include details of the accident, type of nonmotor vehicle, and specific injuries sustained.

Common Clinical Scenarios

A patient presents to the emergency department after being struck by a bicycle while crossing the street.

Billing Considerations

Ensure that all relevant details are captured in the medical record to support the use of V06.1.

Trauma Surgery

Documentation Requirements

Trauma documentation should include mechanism of injury, type of nonmotor vehicle, and injury severity.

Common Clinical Scenarios

A trauma patient is admitted after being hit by a skateboard while walking.

Billing Considerations

Accurate coding is critical for trauma registries and quality improvement initiatives.

Coding Guidelines

Inclusion Criteria

Use V06.1 When
  • According to ICD
  • CM coding guidelines, external cause codes should be reported in conjunction with the primary diagnosis code
  • It is essential to document the circumstances of the injury, including the type of nonmotor vehicle involved, to support the use of V06

Exclusion Criteria

Do NOT use V06.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a pedestrian injury is treated in the emergency department.

Documentation Requirements

Documentation must support the level of service billed, including details of the injury and treatment provided.

Specialty Considerations

Emergency medicine specialists should ensure that all relevant details are captured for accurate billing.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has increased the specificity required for coding external causes of injuries, including pedestrian injuries. V06.1 allows for better tracking of nonmotor vehicle-related pedestrian injuries, which can inform public health initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has increased the specificity required for coding external causes of injuries, including pedestrian injuries. V06.1 allows for better tracking of nonmotor vehicle-related pedestrian injuries, which can inform 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 classified under V06.1?

V06.1 covers injuries sustained by pedestrians in collisions with nonmotor vehicles, including bicycles, scooters, and skateboards. It is important to document the specific type of vehicle involved to ensure accurate coding.