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v1.0.0
ICD-10 Guide
ICD-10 CodesV12.4

V12.4

Billable

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

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

Code Description

ICD-10 V12.4 is a billable code used to indicate a diagnosis of pedal cycle driver injured in collision with two- or three-wheeled motor vehicle in traffic 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 during a traffic accident. Such incidents often result in significant morbidity due to the lack of protective barriers for cyclists compared to motor vehicle occupants. Common injuries may include fractures, contusions, and lacerations, which can vary in severity based on the speed of the vehicles involved and the circumstances of the collision. Accurate coding of these incidents is crucial for public health data collection, injury prevention strategies, and resource allocation for trauma care. Documentation should include details about the accident, the type of vehicles involved, and the nature of the injuries sustained to ensure proper coding and analysis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident circumstances
  • Differentiation between types of motor vehicles involved
  • Variability in injury severity and types
  • Potential for multiple external cause codes to be applicable

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Misclassification of the type of 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 department notes should clearly document the mechanism of injury, including details about the collision, patient presentation, and initial treatment provided.

Common Clinical Scenarios

A cyclist presents to the emergency department after being struck by a motorcycle, resulting in a fractured wrist and road rash.

Billing Considerations

Ensure that all injuries are documented and that the external cause code reflects the specific circumstances of the collision.

Trauma Surgery

Documentation Requirements

Trauma notes must include a detailed account of the injury mechanism, injury severity, and any surgical interventions performed.

Common Clinical Scenarios

A cyclist with multiple fractures and internal injuries following a collision with a scooter is admitted for surgical intervention.

Billing Considerations

Accurate coding is essential for trauma registries and for tracking injury patterns in the population.

Coding Guidelines

Inclusion Criteria

Use V12.4 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the external cause code is reported in conjunction with the appropriate injury diagnosis codes
  • The external cause code should be recorded in the secondary position unless otherwise specified

Exclusion Criteria

Do NOT use V12.4 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 with severe injuries after a collision.

Documentation Requirements

Document the nature of the injuries, treatment provided, and any consultations.

Specialty Considerations

Emergency medicine specialists should ensure that the visit level reflects the complexity of the case.

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 traffic-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 traffic-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 traffic-related injuries.

Resources

Clinical References

  • •
    CDC Injury Prevention

Coding & Billing References

  • •
    CDC Injury Prevention

Frequently Asked Questions

What documentation is needed to support the use of code V12.4?

Documentation should include details about the accident, the type of vehicles involved, the nature of the injuries sustained, and any treatments provided. This ensures accurate coding and supports claims.