ICD-10 Coding for Pedestrian Hit by Car(V03.10XA, S72.302B)
Complete ICD-10-CM coding and documentation guide for Pedestrian Hit by Car. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Pedestrian Hit by Car
V03.00-V03.99Primary Range
Pedestrian injured in collision with car, pick-up truck or van
This range covers all scenarios where a pedestrian is injured in a collision with a motor vehicle.
Injury, poisoning and certain other consequences of external causes
This range includes injury codes that are primary when documenting specific injuries resulting from the accident.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| V03.10XA | Pedestrian on foot injured in collision with car, pick-up truck or van in traffic accident, initial encounter | Use when the pedestrian was on foot and the accident occurred in a traffic setting. |
|
| S72.302B | Open fracture of shaft of femur, initial encounter for open fracture type II or IIIA, IIIB, or IIIC | Use when an open femoral shaft fracture is confirmed by imaging. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for pedestrian hit by car
Essential facts and insights about Pedestrian Hit by Car
Primary ICD-10-CM Codes for pedestrian hit by car
Decision Criteria
documentation Criteria
- Document whether the accident was traffic or nontraffic.
Applicable To
- Pedestrian on foot in traffic accident
Excludes
- Pedestrian injured in nontraffic accident
Clinical Validation Requirements
- Police report confirming traffic accident
- EMS documentation of roadway location
Code-Specific Risks
- Ensure traffic vs. nontraffic status is clearly documented.
Coding Notes
- Ensure the 7th character is used to denote the encounter type.
S72.302B - Open fracture of shaft of femur, initial encounter for open fracture type II or IIIA, IIIB, or IIIC
Use when an open femoral shaft fracture is confirmed by imaging.
Applicable To
- Open femoral shaft fracture
Excludes
- Closed fracture of femur
Clinical Validation Requirements
- X-ray confirming open fracture
- Gustilo classification documented
Coding Notes
Ensure laterality and fracture type are documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Crosswalk at intersection
Y92.410Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Pedestrian on foot injured in collision with car, pick-up truck or van in nontraffic accident, initial encounter
V03.00XAClosed fracture of shaft of femur, initial encounter
S72.301ADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Pedestrian Hit by Car to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code V03.10XA.
Impact
Clinical: Inaccurate representation of patient care phase., Regulatory: Non-compliance with ICD-10 coding rules., Financial: Potential loss of reimbursement for follow-up care.
Mitigation Strategy
Train staff on the importance of encounter type documentation., Use EHR prompts to ensure 7th character inclusion.
Impact
Reimbursement: May result in lower reimbursement due to lack of specificity., Compliance: Could lead to compliance issues with coding guidelines., Data Quality: Reduces the accuracy of health data for analysis.
Mitigation Strategy
Use specific codes based on the pedestrian's conveyance and traffic status.
Impact
Inaccurate coding of external causes can lead to audit discrepancies.
Mitigation Strategy
Ensure detailed documentation of accident circumstances.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Pedestrian Hit by Car, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Pedestrian Hit by Car
Use these documentation templates to ensure complete and accurate documentation for Pedestrian Hit by Car. These templates include all required elements for proper coding and billing.
Emergency Department Evaluation
Specialty: Emergency MedicineRequired Elements
- Accident mechanism
- Injury specifics
- External cause
- Traffic status
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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