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ICD-10 Guide
ICD-10 CodesV11.5

V11.5

Billable

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

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

Code Description

ICD-10 V11.5 is a billable code used to indicate a diagnosis of pedal cycle passenger injured in collision with other pedal cycle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V11.5 is used to classify injuries sustained by a passenger on a pedal cycle involved in a collision with another pedal cycle during a traffic accident. This code is particularly relevant in urban areas where cycling is a common mode of transportation. The injuries can range from minor abrasions and contusions to more severe trauma such as fractures or head injuries, depending on the speed of the collision and the protective gear worn by the passenger. Accurate coding is essential for tracking injury patterns, understanding the epidemiology of cycling accidents, and informing public health initiatives aimed at improving cyclist safety. Documentation should include details about the circumstances of the accident, the type of injuries sustained, and any relevant environmental factors that may have contributed to the incident.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for detailed documentation of the accident circumstances
  • Variability in injury severity and types
  • Potential for multiple external cause codes to be applicable
  • Differentiation between passenger and operator injuries

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Misclassification of the injured party (passenger vs. operator)
  • Failure to capture all relevant external cause codes
  • Inconsistent coding practices across different healthcare providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

A cyclist passenger presents with a fractured wrist after a collision with another cyclist; documentation must specify the nature of the collision.

Billing Considerations

Consideration of protective gear worn by the passenger and any pre-existing conditions that may affect injury severity.

Trauma Surgery

Documentation Requirements

Detailed operative reports and injury assessments are necessary to capture the full extent of injuries and surgical interventions.

Common Clinical Scenarios

A passenger sustains multiple fractures and requires surgical intervention; accurate coding of all injuries is critical.

Billing Considerations

Trauma surgeons must be aware of the potential for co-morbidities that may complicate recovery and impact coding.

Coding Guidelines

Inclusion Criteria

Use V11.5 When
  • Coders should refer to the official ICD
  • CM coding guidelines, ensuring that all external cause codes are reported in accordance with the guidelines for sequencing and specificity

Exclusion Criteria

Do NOT use V11.5 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 support the level of service, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine specialists should ensure that all injuries are documented to support the coding.

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 V11.5?

Documentation should include the specifics of the collision, the role of the passenger, the type of injuries sustained, and any relevant environmental factors.