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ICD-10 Guide
ICD-10 CodesChapter 20: External causes of morbidityV13

V13

Billable

Pedal cycle rider injured in collision with car, pick-up truck or van

Chapter 20:External causes of morbidity

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

Code Description

ICD-10 V13 is a billable code used to indicate a diagnosis of pedal cycle rider injured in collision with car, pick-up truck or van.

Key Diagnostic Point:

The ICD-10 code V13 is designated for incidents where a pedal cycle rider is injured due to a collision with a motor vehicle, specifically cars, pick-up trucks, or vans. This code is crucial for capturing the external cause of morbidity and mortality associated with cycling accidents. Such incidents often result in a range of injuries, from minor abrasions to severe trauma, including fractures, head injuries, and internal injuries. Accurate coding of these events is essential for public health data collection, injury prevention strategies, and resource allocation for emergency services. In clinical practice, this code is typically used in emergency departments and trauma centers where cyclists present after an accident. Documentation should include details about the circumstances of the collision, the type of vehicle involved, and the nature of the injuries sustained to ensure comprehensive coding and facilitate appropriate care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

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

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Failure to capture the specific type of vehicle involved
  • Misclassification of the injury severity
  • Inconsistent coding practices among different providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, type of vehicle involved, and specific injuries sustained. Time of accident and patient condition upon arrival are also critical.

Common Clinical Scenarios

Common scenarios include cyclists presenting with head injuries, fractures, or lacerations after being struck by a vehicle.

Billing Considerations

Consideration should be given to the use of protective gear (e.g., helmets) and the cyclist's behavior at the time of the accident.

Trauma Surgery

Documentation Requirements

Trauma surgeons need detailed accounts of the injury mechanism, including speed of the vehicle, impact location, and any pre-existing conditions that may affect treatment.

Common Clinical Scenarios

Trauma cases often involve severe injuries requiring surgical intervention, such as orthopedic repairs or neurosurgical procedures.

Billing Considerations

Documentation should reflect the comprehensive assessment of injuries and any complications arising from the accident.

Coding Guidelines

Inclusion Criteria

Use V13 When
  • According to ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is essential to report the external cause code in the secondary position to the primary diagnosis code reflecting the injury sustained

Exclusion Criteria

Do NOT use V13 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

Documentation must reflect the complexity of the visit and the injuries sustained.

Specialty Considerations

Emergency medicine providers should ensure that all relevant injuries are documented to support the level of service billed.

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 accuracy for public health initiatives and injury prevention strategies.

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

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

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

When should I use code V13?

Use code V13 when documenting injuries sustained by a pedal cycle rider involved in a collision with a car, pick-up truck, or van. Ensure that the circumstances of the accident are well-documented.