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ICD-10 Guide
ICD-10 CodesV10.5

V10.5

Billable

Pedal cycle passenger injured in collision with pedestrian or animal in traffic accident

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

Code Description

ICD-10 V10.5 is a billable code used to indicate a diagnosis of pedal cycle passenger injured in collision with pedestrian or animal in traffic accident.

Key Diagnostic Point:

The ICD-10 code V10.5 is used to classify injuries sustained by a passenger on a pedal cycle involved in a collision with a pedestrian or an animal during a traffic accident. This code is particularly relevant in urban settings where cycling is common, and it highlights the risks faced by cyclists, especially when sharing roadways with pedestrians and animals. Injuries can range from minor abrasions to severe trauma, including fractures and head injuries. Accurate coding is essential for tracking injury patterns, understanding public health implications, and improving safety measures for cyclists. Documentation should include details about the circumstances of the accident, the nature of the injuries, and any contributing factors such as road conditions or visibility issues.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the role of the patient as a passenger versus a cyclist.
  • Differentiating between types of collisions (e.g., with pedestrians vs. animals).
  • Documenting the specifics of the traffic accident accurately.
  • Understanding the nuances of external cause coding guidelines.

Audit Risk Factors

  • Inadequate documentation of the accident details.
  • Misclassification of the type of collision.
  • Failure to link the external cause code with the primary diagnosis.
  • Inconsistent coding practices among different coders.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, patient role, and any immediate interventions.

Common Clinical Scenarios

A cyclist passenger involved in a collision with a pedestrian while riding on a shared path.

Billing Considerations

Ensure that the external cause code reflects the specific circumstances of the injury to support accurate data collection.

Trauma Surgery

Documentation Requirements

Trauma assessments must include detailed descriptions of the injuries sustained and the context of the accident.

Common Clinical Scenarios

A patient presenting with multiple fractures after being struck by a pedestrian while riding as a passenger on a bicycle.

Billing Considerations

Consider the potential for multiple injuries and the need for comprehensive coding to reflect the full extent of trauma.

Coding Guidelines

Inclusion Criteria

Use V10.5 When
  • According to the ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is important to capture the specific circumstances of the injury, including the location and type of collision
  • External cause codes should be reported in the order of occurrence, with the most significant cause listed first

Exclusion Criteria

Do NOT use V10.5 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 include the nature of the injuries and the circumstances of the accident.

Specialty Considerations

Emergency medicine specialists should ensure that the external cause code is linked to the visit.

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, improving data collection and analysis for public health initiatives aimed at reducing cycling injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data collection and analysis for public health initiatives aimed at reducing cycling injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data collection and analysis for public health initiatives aimed at reducing cycling injuries.

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

What should I document to support the use of code V10.5?

Document the specifics of the accident, including the role of the patient as a passenger, the type of collision, and any injuries sustained. This information is crucial for accurate coding and billing.