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ICD-10 Guide
ICD-10 CodesV11.4

V11.4

Billable

Pedal cycle driver injured in collision with other pedal cycle in traffic accident

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

Code Description

ICD-10 V11.4 is a billable code used to indicate a diagnosis of pedal cycle driver injured in collision with other pedal cycle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V11.4 is used to classify injuries sustained by a pedal cycle driver involved in a collision with another pedal cycle during a traffic accident. This code captures the external cause of morbidity and mortality related to cycling accidents, which are significant contributors to public health concerns, particularly in urban areas. The injuries can range from minor abrasions to severe trauma, including fractures and head injuries. Accurate coding is essential for tracking injury patterns, implementing safety measures, and allocating resources for public health initiatives aimed at reducing cycling accidents. Documentation should include details about the circumstances of the accident, the type of injuries sustained, and any contributing factors such as road conditions or the presence of other vehicles. This code is particularly relevant in emergency medicine and trauma surgery settings, where timely and accurate documentation can influence treatment and resource allocation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident circumstances
  • Variability in injury severity and types
  • Potential for multiple external cause codes to be applicable
  • Differentiation between types of collisions (e.g., with vehicles vs. other cyclists)

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Failure to capture all relevant external cause codes
  • Misclassification of the type of collision
  • Inconsistent coding practices among different providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed account of the accident, including time, location, and mechanism of injury.

Common Clinical Scenarios

Patients presenting with fractures, lacerations, or concussions following a cycling accident.

Billing Considerations

Consideration of helmet use and other safety measures that may impact injury severity.

Trauma Surgery

Documentation Requirements

Comprehensive trauma assessment, including injury patterns and potential surgical interventions.

Common Clinical Scenarios

Severe injuries requiring surgical intervention, such as pelvic fractures or traumatic brain injuries.

Billing Considerations

Documentation of pre-existing conditions that may complicate recovery.

Coding Guidelines

Inclusion Criteria

Use V11.4 When
  • Coders should refer to the official ICD
  • CM coding guidelines, ensuring that all relevant details of the incident are documented
  • The external cause code should be used in conjunction with the appropriate injury codes to provide a complete picture of the patient's condition

Exclusion Criteria

Do NOT use V11.4 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 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 all relevant details of the accident are captured.

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 be documented to support the use of V11.4?

Documentation should include details about the accident, such as the time, location, and circumstances of the collision, as well as the type and severity of injuries sustained.