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v1.0.0
ICD-10 Guide
ICD-10 CodesV11.2

V11.2

Billable

Unspecified pedal cyclist injured in collision with other pedal cycle in nontraffic accident

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

Code Description

ICD-10 V11.2 is a billable code used to indicate a diagnosis of unspecified pedal cyclist injured in collision with other pedal cycle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V11.2 is used to classify injuries sustained by a pedal cyclist involved in a collision with another pedal cyclist in a nontraffic accident. This code is particularly relevant in scenarios where cyclists collide in areas not designated as roadways, such as parks, bike paths, or private property. The injuries can range from minor abrasions to severe trauma, depending on the circumstances of the collision. Accurate coding is essential for tracking injury patterns, understanding public health implications, and ensuring appropriate resource allocation for injury prevention programs. Documentation should include details about the nature of the collision, the environment in which it occurred, and the specific injuries sustained to support the use of this code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in documentation regarding the specifics of the accident.
  • Variability in injury severity and types, which may complicate coding.
  • Need for precise details about the environment of the accident.
  • Potential overlap with other external cause codes.

Audit Risk Factors

  • Inadequate documentation of the accident details.
  • Failure to specify the environment of the collision.
  • Misclassification of the accident type (traffic vs. nontraffic).
  • Inconsistent use of external cause codes across different encounters.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, location of the accident, and specific injuries sustained.

Common Clinical Scenarios

Cyclists presenting with fractures, lacerations, or contusions after a collision in a park.

Billing Considerations

Ensure that the nontraffic nature of the accident is clearly stated to avoid misclassification.

Trauma Surgery

Documentation Requirements

Trauma documentation should include detailed descriptions of the injuries and the circumstances surrounding the collision.

Common Clinical Scenarios

Trauma cases involving multiple cyclists with varying degrees of injury severity.

Billing Considerations

Consider the potential for co-existing injuries and document them accurately.

Coding Guidelines

Inclusion Criteria

Use V11.2 When
  • Follow the ICD
  • CM Official Guidelines for Coding and Reporting, particularly those related to external causes of morbidity
  • Ensure that the code is used in conjunction with appropriate injury codes to provide a complete picture of the patient's condition

Exclusion Criteria

Do NOT use V11.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used when a cyclist presents to the ED with injuries from a collision.

Documentation Requirements

Document the nature of the visit, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine providers 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 related to 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 related to cycling injuries.

Reimbursement & Billing Impact

reimbursement and tracking injury trends.

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 V11.2?

Document the specifics of the collision, including the environment, the nature of the injuries sustained, and any relevant patient history.