2024 ICD-10-CM Diagnosis Code V04.131S

Pedestrian on standing electric scooter injured in collision with heavy transport vehicle or bus in traffic accident, sequela

ICD-10-CM Code:
V04.131S
ICD-10 Code for:
Ped on stnd electr scoot inj clsn with hv veh in traf, sqla
Is Billable?
Yes - Valid for Submission
Code Navigator:

Code Classification

  • External causes of morbidity and mortality
    (V01–Y99)
    • Transport accidents
      (V00-V99)
      • Pedestrian injured in collision with heavy transport vehicle or bus
        (V04)

V04.131S is a billable diagnosis code used to specify a medical diagnosis of pedestrian on standing electric scooter injured in collision with heavy transport vehicle or bus in traffic accident, sequela. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

V04.131S is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like pedestrian on standing electric scooter injured in collision with heavy transport vehicle or bus in traffic accident. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.

Clinical Classification

Present on Admission (POA)

V04.131S is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.

CMS POA Indicator Options and Definitions

POA IndicatorReason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Replacement Code

V04131S replaces the following previously assigned ICD-10-CM code(s):

  • V04.19XS - Ped w convey injured in collision w hv veh in traf, sequela

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - Code Added, effective from 10/1/2020 through 9/30/2021