ˈʌðɚ ðɐn ɪnðə vɪsˈɪnᵻɾi ʌv mˈɑːskoʊ ænd sˈeɪnt pˈiːɾɚzbˌɜːɡ, ðɪ ˈɛm tˈɛn ɪz bˈeɪsɪkli ɐ tˈuːlˈeɪn hˈaɪweɪ wˈʌn lˈeɪn fɔːɹ ˈiːtʃ dᵻɹˈɛkʃən, wɪð ɐn əkˈeɪʒənəl θˈɜːd sˈɛntɚ lˈeɪn tʊ ɐlˈaʊ ˌoʊvɚtˈeɪkɪŋ ɔːɹ fɔːɹ lˈɛfttˈɜːnɪŋ tɹˈæfɪk æɾ ˌɪntɚsˈɛkʃənz.
Other than in the vicinity of Moscow and Saint Petersburg, the M10 is basically a two-lane highway (one lane for each direction), with an occasional third centre lane to allow overtaking or for left-turning traffic at intersections.