V04: ICD10 Code for Pedestrian injured in collision with heavy transport vehicle or bus
Learn about V04, the ICD10 code for Pedestrian injured in collision with heavy transport vehicle or bus. Understand symptoms, diagnosis, usage, and related codes.

Pedestrian injured in collision with heavy transport vehicle or bus (V04) describes injuries sustained by pedestrians during transport-related accidents involving vehicles, trains, or other conveyances. Prompt medical attention, proper documentation, and detailed recording of the accident circumstances are crucial for treatment planning, legal processing, and insurance claims.
Symptoms
- Bruises, lacerations, or abrasions
- Fractures or broken bones
- Head injuries or traumatic brain injury (TBI)
- Internal bleeding or organ damage
- Spinal cord injuries
- Shock or loss of consciousness
- Emotional trauma such as anxiety or PTSD
Diagnosis
Diagnosis involves physical examination, imaging studies like X-rays, CT scans, and MRIs to assess injury severity. Medical teams prioritize life-threatening injuries first following advanced trauma life support (ATLS) guidelines. Thorough documentation of external and internal injuries is critical for medical, legal, and insurance purposes.
ICD10 Code Usage
The ICD10 code V04 is used in hospital emergency departments, trauma centers, insurance claims, and public safety databases. Accurate coding helps track injury trends, supports litigation processes, ensures proper reimbursement, and enables development of pedestrian safety initiatives and urban planning improvements.
Related Codes
- V00 – Pedestrian conveyance accident
- V01 – Pedestrian injured in collision with pedal cycle
- V02 – Pedestrian injured in collision with two- or three-wheeled motor vehicle
- V03 – Pedestrian injured in collision with car, pick-up truck or van
- V05 – Pedestrian injured in collision with railway train or railway vehicle
- V06 – Pedestrian injured in collision with other nonmotor vehicle
- V09 – Pedestrian injured in other and unspecified transport accidents
FAQs
Q1: What does ICD10 code V04 refer to?
A: It documents pedestrian injuries resulting from different types of transport-related accidents.
Q2: Are pedestrian injuries severe?
A: They can range from minor to fatal, depending on the impact, vehicle type, and speed.
Q3: Why is accurate incident coding important?
A: It helps with clinical care, insurance claims, legal cases, and injury prevention strategies.
Q4: Are psychological effects recorded?
A: Yes, psychological trauma may also be diagnosed and treated following pedestrian accidents.
Q5: How soon should a pedestrian seek care after an accident?
A: Immediate medical evaluation is critical even if injuries seem minor at first.
Conclusion
Using ICD10 code V04 to document Pedestrian injured in collision with heavy transport vehicle or bus ensures effective clinical management, supports legal and insurance processes, and contributes valuable data for public health improvements in pedestrian safety and traffic injury prevention efforts.

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