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ICD-10 Guide
ICD-10 CodesV10.3

V10.3

Billable

Person boarding or alighting a pedal cycle injured in collision with pedestrian or animal

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 V10.3 is a billable code used to indicate a diagnosis of person boarding or alighting a pedal cycle injured in collision with pedestrian or animal.

Key Diagnostic Point:

The ICD-10 code V10.3 is used to classify injuries sustained by individuals who are boarding or alighting from a pedal cycle and are subsequently involved in a collision with a pedestrian or an animal. This code is particularly relevant in urban settings where cycling is common, and it captures incidents that may not only involve the cyclist but also impact pedestrians and animals. The injuries can range from minor abrasions to severe trauma, depending on the speed of the cyclist and the nature of the collision. Accurate coding of such incidents is crucial for public health data collection, injury prevention strategies, and resource allocation for emergency services. It is essential for healthcare providers to document the circumstances surrounding the injury, including the environment, time of day, and any contributing factors, to ensure comprehensive data capture and analysis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact circumstances of the injury (boarding vs. alighting)
  • Differentiating between collisions with pedestrians versus animals
  • Documenting the severity of injuries accurately
  • Understanding local traffic laws and regulations that may affect coding

Audit Risk Factors

  • Inadequate documentation of the incident details
  • Misclassification of the type of collision (pedestrian vs. animal)
  • Failure to capture the boarding or alighting aspect of the incident
  • Inconsistent coding practices among different providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, including details about the collision and any immediate treatment provided.

Common Clinical Scenarios

Patients presenting with lacerations, fractures, or contusions after a cycling accident involving a pedestrian or animal.

Billing Considerations

Consideration of potential head injuries or other trauma that may not be immediately apparent.

Trauma Surgery

Documentation Requirements

Trauma assessments must include detailed descriptions of the injury patterns and any surgical interventions performed.

Common Clinical Scenarios

Severe injuries requiring surgical intervention, such as fractures or internal injuries resulting from high-impact collisions.

Billing Considerations

Documentation should reflect the mechanism of injury to support the need for surgical procedures.

Coding Guidelines

Inclusion Criteria

Use V10.3 When
  • According to the ICD
  • CM Official Guidelines for Coding and Reporting, external cause codes should be used in conjunction with the primary diagnosis code
  • It is important to report the external cause code to provide context for the injury and to capture the circumstances surrounding the event

Exclusion Criteria

Do NOT use V10.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used when a patient presents to the emergency department with injuries from a cycling accident.

Documentation Requirements

Documentation must support the level of service provided, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine providers should ensure that the mechanism of injury is clearly documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those related to pedal cycles. This specificity aids in better tracking of injury patterns and facilitates targeted public health interventions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those related to pedal cycles. This specificity aids in better tracking of injury patterns and facilitates targeted public health interventions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those related to pedal cycles. This specificity aids in better tracking of injury patterns and facilitates targeted public health interventions.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

When should I use V10.3?

Use V10.3 when documenting injuries sustained by a person who is boarding or alighting from a pedal cycle and is involved in a collision with a pedestrian or animal. Ensure that the circumstances of the injury are well-documented.