Pedal cycle rider injured in transport accident

Historical Changes

• •FY 2025: Routine maintenance updates with minor terminology clarifications
• •FY 2024: Enhanced specificity requirements for certain code ranges
• •FY 2023: Updated documentation guidelines for improved clarity

Upcoming Changes

• •Proposed updates pending review by Coordination and Maintenance Committee
• •Under consideration: Enhanced digital health integration codes

Implementation Guidance

• •Review all FY 2026 updates for V20-V29 codes before implementation
• •Always verify the most current codes in the ICD-10-CM manual
• •Ensure clinical documentation supports the selected diagnosis codes
• +3 more guidance items...

Key Usage Points:

• •Always code for the most severe injury sustained in the accident.
• •Include additional codes to specify any associated injuries.
• •Use a code from this range even if the patient was not admitted to the hospital.
• •Remember to code for the type of pedal cycle (e.g., bicycle, unicycle).
• •Always use the final character to indicate the encounter type (initial, subsequent, sequela).

When to Use:

• ✓When a patient presents with injuries sustained while riding a pedal cycle.
• ✓When documenting injuries from a previous pedal cycle accident during a follow-up visit.
• ✓When treating complications or sequelae from a pedal cycle accident.
• ✓When a patient is seen for a check-up after being involved in a pedal cycle accident.

When NOT to Use:

• ✗When the patient was not riding the pedal cycle at the time of the accident.
• ✗When the patient's injuries were not caused by the pedal cycle accident.
• ✗When the patient was involved in a transport accident but not on a pedal cycle.
• ✗When the patient is seen for unrelated issues but has a history of a pedal cycle accident.

Common Documentation Errors:

• ⚠Not specifying the type of pedal cycle
• ⚠Not providing enough detail about the injuries
• ⚠Not coding for the most severe injury
• ⚠Not indicating the encounter type