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v1.0.0
ICD-10 Guide
ICD-10 CodesV12.0

V12.0

Billable

Pedal cycle driver injured in collision with two- or three-wheeled motor vehicle in nontraffic accident

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

Code Description

ICD-10 V12.0 is a billable code used to indicate a diagnosis of pedal cycle driver injured in collision with two- or three-wheeled motor vehicle in nontraffic accident.

Key Diagnostic Point:

This code is used to classify injuries sustained by a pedal cycle driver involved in a collision with a two- or three-wheeled motor vehicle, specifically in a nontraffic accident context. Nontraffic accidents may occur in various settings, such as private property or during recreational activities. The injuries can range from minor abrasions to severe trauma, including fractures or head injuries. Accurate coding is crucial for understanding the epidemiology of such incidents, guiding public health interventions, and ensuring appropriate resource allocation for injury prevention programs. Documentation should include details about the circumstances of the accident, the type of vehicle involved, and the nature of the injuries sustained to support the use of this code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the context of the accident (nontraffic vs. traffic)
  • Identifying the specific type of motor vehicle involved
  • Documenting the extent and nature of injuries accurately
  • Differentiating between similar external cause codes

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Misclassification of traffic vs. nontraffic accidents
  • Failure to specify the type of motor vehicle involved
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly outline the mechanism of injury, type of vehicle involved, and any immediate interventions performed.

Common Clinical Scenarios

A cyclist colliding with a motorcycle while riding on a private road or in a parking lot.

Billing Considerations

Ensure that the documentation reflects the nontraffic nature of the accident to avoid misclassification.

Trauma Surgery

Documentation Requirements

Trauma assessments must detail the injuries sustained, the mechanism of injury, and any surgical interventions required.

Common Clinical Scenarios

A cyclist requiring surgery after being struck by a scooter in a residential area.

Billing Considerations

Accurate coding is essential for trauma registries and injury prevention research.

Coding Guidelines

Inclusion Criteria

Use V12.0 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is important to capture the full context of the injury, including the location and circumstances of the accident

Exclusion Criteria

Do NOT use V12.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a cyclist presents to the emergency department with significant injuries from a collision.

Documentation Requirements

Detailed documentation of the patient's condition, treatment provided, and any referrals made.

Specialty Considerations

Emergency medicine specialists should ensure that the mechanism of injury is clearly 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 accuracy for public health reporting and injury prevention initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy for public health reporting and injury prevention initiatives.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy for public health reporting and injury prevention initiatives.

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 is the difference between V12.0 and V12.1?

V12.0 is used for pedal cycle drivers injured in collisions with two- or three-wheeled motor vehicles in nontraffic accidents, while V12.1 is for collisions with other pedal cycles.