2024 ICD-10-CM Diagnosis Code V05.038A

Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter

ICD-10-CM Code:
V05.038A
ICD-10 Code for:
Ped oth stnd micr-mob conv inj clsn train/veh nontraf, init
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 railway train or railway vehicle
        (V05)

V05.038A is a billable diagnosis code used to specify a medical diagnosis of pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter. 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.

V05.038A is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with railway train or railway vehicle in nontraffic accident. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.

Clinical Classification

Clinical CategoryCCSR Category CodeInpatient Default CCSROutpatient Default CCSR
External cause codes: intent of injury, accidental/unintentionalEXT020X - Not applicable.X - Not applicable.
External cause codes: pedestrian; not MVT; initial encounterEXT009X - Not applicable.X - Not applicable.

Present on Admission (POA)

V05.038A 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

V05038A replaces the following previously assigned ICD-10-CM code(s):

  • V05.09XA - Ped w convey injured in clsn w rail trn/veh nontraf, init

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