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v1.0.0
ICD-10 Guide
ICD-10 CodesV13.1

V13.1

Billable

Pedal cycle passenger injured in collision with car, pick-up truck or van in nontraffic accident

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

Code Description

ICD-10 V13.1 is a billable code used to indicate a diagnosis of pedal cycle passenger injured in collision with car, pick-up truck or van in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V13.1 is used to classify injuries sustained by a pedal cycle passenger involved in a collision with a motor vehicle, specifically a car, pick-up truck, or van, occurring in a nontraffic accident. Nontraffic accidents refer to incidents that do not occur on public roadways, such as private property or parking lots. This code is crucial for capturing the external cause of morbidity and mortality related to cycling injuries, which can include fractures, contusions, and lacerations. Accurate coding is essential for public health data collection, injury prevention strategies, and resource allocation for trauma care. It is important for healthcare providers to document the circumstances surrounding the incident, including the location and nature of the collision, to ensure the correct application of this code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact nature of the accident (nontraffic vs. traffic)
  • Differentiating between types of vehicles involved
  • Documenting the passenger status accurately
  • Understanding the context of the accident (private property vs. public)

Audit Risk Factors

  • Inadequate documentation of the accident's circumstances
  • Misclassification of traffic vs. nontraffic incidents
  • Failure to specify the type of vehicle involved
  • Inconsistent coding practices among providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly describe the mechanism of injury, including the type of vehicle involved and the location of the accident.

Common Clinical Scenarios

Patients presenting with injuries from a collision while riding as a passenger on a bicycle, often requiring immediate assessment and intervention.

Billing Considerations

Ensure that the patient's role as a passenger is clearly documented to avoid confusion with cyclist injuries.

Trauma Surgery

Documentation Requirements

Trauma documentation must include detailed descriptions of injuries sustained, the mechanism of injury, and any surgical interventions performed.

Common Clinical Scenarios

Trauma cases involving significant injuries from collisions, requiring surgical evaluation and management.

Billing Considerations

Accurate coding is essential for trauma registries and quality improvement initiatives.

Coding Guidelines

Inclusion Criteria

Use V13.1 When
  • According to the ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is important to report the external cause code to provide context for the injury and to follow the guidelines for sequencing these codes appropriately

Exclusion Criteria

Do NOT use V13.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, level 3

Clinical Scenario

Used when a patient presents to the emergency department with injuries from a nontraffic accident.

Documentation Requirements

Documentation must support the level of service, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine providers should ensure that the external cause code is linked to the visit.

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 and facilitating better public health reporting and injury prevention strategies.

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

reimbursement and compliance.

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 V13.0 and V13.1?

V13.0 is used for pedal cycle passengers injured in traffic accidents, while V13.1 is specifically for nontraffic accidents. Accurate documentation of the accident's context is essential for proper coding.