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v1.0.0
ICD-10 Guide
ICD-10 CodesV11.3

V11.3

Billable

Person boarding or alighting a pedal cycle injured in collision with other pedal cycle

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

Code Description

ICD-10 V11.3 is a billable code used to indicate a diagnosis of person boarding or alighting a pedal cycle injured in collision with other pedal cycle.

Key Diagnostic Point:

This code is used to classify injuries sustained by individuals who are boarding or disembarking from a pedal cycle and are involved in a collision with another pedal cycle. Such incidents can occur in various environments, including urban areas where cycling is common. The injuries can range from minor abrasions to severe trauma, depending on the speed of the collision and the circumstances surrounding the event. Accurate coding of these incidents is crucial for public health data collection, injury prevention strategies, and resource allocation for emergency services. It is important for coders to ensure that the circumstances of the injury are well-documented, including the location, time, and nature of the collision, to facilitate appropriate coding and analysis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the incident circumstances
  • Differentiation between types of cycling injuries
  • Potential for multiple external cause codes to apply
  • Variability in injury severity and associated codes

Audit Risk Factors

  • Inadequate documentation of the incident details
  • Misclassification of the type of cycling injury
  • Failure to capture the external cause code when applicable
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, including details about the collision, patient statements, and any witness accounts.

Common Clinical Scenarios

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

Billing Considerations

Emergency physicians should ensure that the external cause code is linked to the primary diagnosis for accurate billing and data collection.

Trauma Surgery

Documentation Requirements

Trauma documentation should include detailed descriptions of the injuries sustained, the mechanism of injury, and any surgical interventions performed.

Common Clinical Scenarios

Trauma cases involving significant injuries from cycling collisions requiring surgical intervention.

Billing Considerations

Trauma surgeons must ensure that all relevant external cause codes are captured to reflect the complexity of the injuries.

Coding Guidelines

Inclusion Criteria

Use V11.3 When
  • Coders should refer to the official ICD
  • CM coding guidelines, which emphasize the importance of documenting the external cause of injuries
  • The guidelines specify that external cause codes should be reported in conjunction with the primary diagnosis code to provide a complete picture of the patient's condition

Exclusion Criteria

Do NOT use V11.3 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 collision.

Documentation Requirements

Documentation must include the nature of the injuries and the external cause code.

Specialty Considerations

Emergency medicine specialists should ensure that the external cause is clearly 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 of injuries, including those related to pedal cycling. 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 cycling. This specificity aids in better tracking of injury patterns and facilitates targeted public health interventions.

Reimbursement & Billing Impact

reimbursement.

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 be documented to use code V11.3?

Documentation should include details about the incident, such as the circumstances of boarding or alighting from the pedal cycle, the nature of the collision, and any injuries sustained.