ICD code V00.382D – Pedestrian on other flat-bottomed pedestrian conveyance colliding

Key takeaways

ICD-10 code V00.382D covers a pedestrian on another flat-bottomed conveyance who collided with a stationary object, at a subsequent encounter

The 7th character D means the patient is back for routine follow-up care of a healing injury, not active treatment

Pick V00.381 for a fall from the conveyance, V00.382 for a collision with a stationary object, and V00.388 for any other accident

V00.382D is a billable ICD-10-CM code valid for HIPAA-covered transactions in the FY 2026 edition, effective October 1, 2025

It is an external cause code, so it never leads a claim: the injury diagnosis goes in position one

Pabau’s claims management software and Claim.MD clearinghouse integration help practices submit these external cause codes accurately

V00.382D at a glance

V00.382D is current in the FY 2026 ICD-10-CM edition, which took effect on October 1, 2025. The table below captures the billing and classification details.

What V00.382D means

Each segment of the code carries a specific clinical meaning. Breaking it down removes the ambiguity coders run into when choosing between sibling codes.

• V00 – Pedestrian conveyance accident. The patient was riding a non-motorized pedestrian conveyance rather than traveling on foot or in a vehicle.
• V00.3 – Flat-bottomed pedestrian conveyance accident. The device slides on a flat base instead of running on wheels or rollers.
• V00.38 – Other flat-bottomed pedestrian conveyance accident. The device is neither a snowboard (V00.31) nor snow-skis (V00.32), which have their own subcategories.
• V00.382 – Pedestrian on other flat-bottomed pedestrian conveyance colliding with stationary object. The sixth character 2 fixes the mechanism as a collision, not a fall.
• D (7th character) – Subsequent encounter. The patient has finished the active treatment phase and is back for follow-up, healing checks, or ongoing care.

Flat-bottomed does not mean wheeled. Devices that run on wheels or rollers, including skateboards and roller-skates, belong to the rolling-type family at V00.1. Devices that glide on blades or runners, such as ice-skates and sleds, sit under V00.2. V00.38 is left for flat-based sliding devices the classification does not name individually.

The stationary object is the other half of the code. It can be a tree, a fence post, a wall, a barrier, or a parked car. The object only needs to have been still at the point of impact. If the patient struck a moving land transport vehicle, the case leaves V00 entirely and moves to the V01-V09 block.

Documentation systems and coders sometimes describe the code differently. Wordings like “flat-bottomed conveyance rider struck fixed object, follow-up” and “non-motorized conveyance collision with stationary object, subsequent visit” point to this same code.

The 7th character: A, D, and S

The 7th character is where most V00-series coding errors originate. ICD-10-CM requires coders to select from three options for external cause injury codes, and each has a precise clinical meaning.

One misconception comes up repeatedly. “Subsequent encounter” describes the type of care, not the number of visits. A patient can carry several initial-encounter (A) claims while active treatment continues. The shift to D happens once the care becomes routine follow-up of a healing injury.

Code hierarchy: Where V00.382D sits

Tracing the path from the parent chapter down to V00.382D confirms the coder has the most specific code available. The chapter it sits in is given over entirely to external causes of morbidity, which are always supplementary to a principal diagnosis. Every family in the ICD-10-CM code set is built on the same descent, from chapter to block to billable code.

The nine codes in the V00.38 family

V00.382D belongs to a nine-code family that shares the V00.38 parent. Three mechanisms each take three 7th characters. Picking the wrong combination is a common validation error on flat-bottomed conveyance claims, and the table below shows all nine.

Both V00.38 and V00.382 are non-billable category headers. V00.382D is the correct billable choice when the notes describe a collision with a stationary object and the visit is routine follow-up care. Confirm the mechanism in the clinical record before assigning the code.

Choosing between V00.381, V00.382, and V00.388

The sixth character carries the mechanism, and it separates the three code families. The diagram below pairs each mechanism with the 7th character that goes with it. The list underneath gives the wording to look for in the note.

• V00.381 – fall. The patient came off the conveyance and hit the ground. Look for “fell from,” “lost balance and fell,” or “dismounted involuntarily” in the note. No fixed object needs to be involved.
• V00.382 – collision with a stationary object. The patient, still on the conveyance, struck something that was not moving. Look for a named object: a post, a tree, a curb, a wall, or a parked vehicle.
• V00.388 – other accident. The event was neither a plain fall nor a collision with a fixed object. This is also where coders land when the note documents an accident on the conveyance without naming a mechanism.

A fall that follows a collision is the one case worth a clinician query. If the patient hit a post and then fell, the record should say which event caused the injury being treated. Code the mechanism the documentation supports rather than defaulting to the fall.

What the documentation has to show

Payers auditing V00.382D claims look for specific documentation elements. Missing any one of them can flip a claim from paid to denied. Building these six fields into the follow-up visit note template cuts the manual coder review that follows.

• Nature of the conveyance: The note must describe a flat-bottomed, non-motorized device that slides rather than rolls. A note that says only “scooter,” “skateboard,” or “wheelchair” points to a different V00 subcategory, so the coder cannot reach V00.38.
• The object struck: The record must state that the patient hit a stationary object, and name it where possible. Without that detail, V00.382 cannot be separated from a fall (V00.381) or another accident (V00.388).
• Encounter type: The clinician’s note must show this is a routine follow-up visit for a healing injury, not an active treatment session. Phrases like “presenting for wound check,” “follow-up on healing fracture,” or “monitoring recovery” establish the subsequent-encounter 7th character.
• Injury details: The specific injury being followed (fracture, laceration, contusion) belongs in the principal diagnosis field alongside V00.382D. External cause codes never stand alone.
• Original collision context: A brief reference to the original collision in the history section strengthens the medical record. This matters most when the initial encounter was coded at a different facility.
• Place of occurrence and activity codes: Add the place-of-occurrence code (Y92.-) and the activity code (Y93.-) whenever the record supports them. External cause status (Y99.-) applies where the record supports it too.

Practices using practice management software like Pabau can build these prompts into the follow-up note itself. The mechanism and the care phase are then on record before the claim is generated.

Three coding scenarios

Three worked examples show where V00.382D applies and where a sibling code fits better. Each pairs the external cause code with a principal injury diagnosis at the matching encounter stage.

Coding guidelines for external cause codes

The CMS ICD-10-CM guidelines set five firm rules for external cause codes like V00.382D. Breaking one of them at the claim level almost always ends in a denial.

• Never sequence as the principal diagnosis. V00.382D is an external cause code. It always follows a principal diagnosis describing the injury itself, such as S52.501D for a healing right distal radius fracture. Payers reject claims that put V00.382D in the primary position.
• Use with the injury code at the same encounter level. The 7th character on the injury code and the external cause code should align. If the injury code uses D, the external cause code should also use D.
• Respect the Excludes 1 notes. A collision with a moving land transport vehicle belongs in V01-V09. Accidentally striking or being bumped into by another person, with no fall, is coded to W51 instead. Neither one is a V00.382 case.
• Multiple external cause codes are allowed. ICD-10-CM guidelines permit additional codes for the place of occurrence, the patient’s activity, and the patient’s status. Use all that the documentation supports.
• Payers may not require external cause codes, but they improve data quality. While not universally mandatory for reimbursement, the CDC/NCHS ICD-10-CM tool and NCHS guidelines strongly recommend external cause reporting for injury surveillance. Some state Medicaid programs do require it.

Rejections on external cause codes usually trace back to sequencing errors or 7th character mismatches. A clean claim on a follow-up visit carries the injury code, V00.382D, and the same 7th character on both.

Common coding mistakes

Five errors account for most V00.382D rejections. A pre-submission check catches the sequencing problems. The rest come down to how carefully the note was read.

• Swapping V00.381 and V00.382. These two sit next to each other in the tabular list, and published references sometimes describe them loosely. V00.381 is the fall. V00.382 is the collision with a stationary object.
• Submitting V00.382D in position one. The claim needs an injury diagnosis ahead of it. An external cause code on its own reads as an incomplete claim to the payer.
• Mismatched 7th characters. An injury code carrying A next to an external cause code carrying D fails validation. Both codes describe the same encounter, so both take the same character.
• Using D while active treatment continues. A second surgery or a revised repair is still initial-encounter care. D belongs to routine healing checks only.
• Coding a moving object as stationary. If the object was in motion, V00.382 is the wrong family. A moving land transport vehicle moves the case to V01-V09.

Code history and effective dates

Knowing when a code was introduced or revised matters for appeals and retrospective audits. V00.382D has been in the code set since ICD-10-CM went live in the United States, so date-of-service rejections on this code are rare.

The AAPC Codify ICD-10-CM lookup lists V00.382D as a current, valid, billable code for fiscal year 2026. It shows no revision or retirement notice against the code in the FY 2026 edition.

Submitting a V00.382D claim

The claim carries an injury diagnosis in position one and V00.382D in a secondary diagnosis field. Both codes take the same 7th character. A clearinghouse that validates external cause sequencing before submission catches the mismatch while it is still cheap to fix.

Practices submitting on CMS-1500 or 837P should pre-populate the principal injury code alongside the external cause code. That removes the most common error on follow-up visits, which is sending V00.382D with nothing in front of it.

How Pabau validates V00.382D claims before submission

In most billing teams a sequencing error surfaces only after the payer sends the claim back. The claim looked complete in the system, the external cause code was valid, and the rejection lands weeks later with a thin reason code.

Pabau’s claims management software checks ICD-10-CM validity and flags sequencing conflicts before anything leaves the practice. Its Claim.MD integration supports CMS-1500 and 837P formats and processes electronic remittance advice. Your billing team sees why each claim was accepted or denied without calling the payer.

On follow-up visits that means fewer resubmission cycles, and a shorter review queue for whoever owns your V00-series claims.

Submit external cause codes accurately, every time

Pabau integrates with Claim.MD to validate ICD-10-CM codes before submission, reducing denials from sequencing errors and 7th character mismatches. See how the workflow fits your practice.

Book a demo

Conclusion

V00.382D comes down to two decisions. The sixth character says the patient collided with a stationary object rather than falling. The 7th character says the visit is routine follow-up care. Get both right, keep the code behind an injury diagnosis, and the claim clears.

The trade-off worth remembering is where the effort goes. One query to the clinician about the mechanism costs less than a resubmission cycle, and the note is the only place that answer lives.

Book a demo to walk through the V00-series claim workflow with your billing team.

Continue your research

Need guidance on ICD-10-CM billing submission workflows? Claim.MD clearinghouse overview explains how electronic claim submission and remittance processing works end to end.

Want to reduce external cause code claim denials? Denial codes in medical billing covers the most common rejection reasons and how to address them before resubmission.

Looking for a structured approach to ICD-10 billing compliance? Medical billing compliance outlines documentation standards and audit preparation steps for external cause codes and injury claims.

Frequently asked questions