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ICD-10 Guide
ICD-10 CodesChapter 20: External causes of morbidityV12

V12

Billable

Pedal cycle rider injured in collision with two- or three-wheeled motor vehicle

Chapter 20:External causes of morbidity

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

Code Description

ICD-10 V12 is a billable code used to indicate a diagnosis of pedal cycle rider injured in collision with two- or three-wheeled motor vehicle.

Key Diagnostic Point:

This code is used to classify injuries sustained by pedal cycle riders involved in collisions with two- or three-wheeled motor vehicles, such as motorcycles or scooters. These incidents often result in significant morbidity and mortality due to the lack of protective barriers for cyclists. Common injuries include fractures, contusions, and lacerations, which can vary in severity based on the speed of the vehicles involved and the protective gear worn by the cyclist. Accurate coding of these incidents is crucial for public health data collection, injury prevention strategies, and resource allocation for emergency services. Documentation should include details about the circumstances of the collision, the type of motor vehicle involved, and the nature of the injuries sustained to ensure proper coding and analysis of trends in cycling-related injuries.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for detailed documentation of the incident circumstances
  • Variability in injury types and severity
  • Potential for multiple external cause codes to apply
  • Differentiation between types of motor vehicles involved

Audit Risk Factors

  • Inadequate documentation of the incident details
  • Misclassification of the type of motor vehicle involved
  • Failure to capture all relevant external cause codes
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, including the type of vehicle involved, the speed at impact, and the cyclist's protective gear.

Common Clinical Scenarios

Cyclist presenting with fractures after being struck by a motorcycle; cyclist with lacerations from a scooter collision.

Billing Considerations

Consider the need for additional codes to capture the full extent of injuries and any pre-existing conditions.

Trauma Surgery

Documentation Requirements

Trauma documentation should include detailed descriptions of injuries, surgical interventions, and any complications arising from the collision.

Common Clinical Scenarios

Trauma cases involving multiple fractures or internal injuries from a high-impact collision.

Billing Considerations

Ensure that all injuries are coded accurately, and consider the potential for long-term rehabilitation needs.

Coding Guidelines

Inclusion Criteria

Use V12 When
  • Follow ICD
  • CM guidelines for external cause codes, ensuring that the code is used in conjunction with the appropriate injury codes
  • Document the circumstances of the injury, including location, activity at the time of the incident, and the type of vehicle involved

Exclusion Criteria

Do NOT use V12 When
No specific exclusions found.

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a cyclist presents with severe injuries after a collision.

Documentation Requirements

Document the severity of injuries and the complexity of care provided.

Specialty Considerations

Emergency medicine specialists should ensure that all relevant injuries are documented.

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

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data collection and analysis for public health initiatives aimed at reducing cycling-related 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 code V12?

Documentation should include the type of motor vehicle involved, the circumstances of the collision, the cyclist's protective gear, and a detailed description of the injuries sustained.