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v1.0.0
ICD-10 Guide
ICD-10 CodesV13.3

V13.3

Billable

Person boarding or alighting a pedal cycle injured in collision with car, pick-up truck or van

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

Code Description

ICD-10 V13.3 is a billable code used to indicate a diagnosis of person boarding or alighting a pedal cycle injured in collision with car, pick-up truck or van.

Key Diagnostic Point:

The ICD-10 code V13.3 is used to classify injuries sustained by individuals who are boarding or alighting from a pedal cycle and are subsequently involved in a collision with a motor vehicle, specifically a car, pick-up truck, or van. This code captures the external cause of morbidity and mortality related to cycling accidents, which are significant public health concerns. Such incidents often result in various injuries, ranging from minor abrasions to severe trauma, including fractures and head injuries. Accurate coding of these events is crucial for epidemiological tracking, resource allocation, and injury prevention strategies. It is essential for healthcare providers to document the circumstances surrounding the incident, including the location, time, and nature of the collision, to ensure proper coding and facilitate effective public health interventions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the incident circumstances
  • Differentiation between types of vehicles involved
  • Potential for multiple injuries requiring additional codes
  • Variability in local traffic laws and definitions of cycling incidents

Audit Risk Factors

  • Inadequate documentation of the incident details
  • Misclassification of the type of vehicle involved
  • Failure to capture all injuries sustained
  • Inconsistent coding practices among different providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, including the type of vehicle involved and the circumstances of the collision.

Common Clinical Scenarios

Patients presenting with injuries from cycling accidents, particularly those involving motor vehicles.

Billing Considerations

Consideration of the patient's history and the potential for underlying conditions that may affect recovery.

Trauma Surgery

Documentation Requirements

Detailed trauma documentation is required, including injury severity scores and descriptions of injuries sustained.

Common Clinical Scenarios

Trauma cases involving cyclists who have sustained significant injuries from collisions.

Billing Considerations

Assessment of potential complications from injuries and the need for surgical intervention.

Coding Guidelines

Inclusion Criteria

Use V13.3 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is important to report the external cause code in the secondary position to provide context for the injury diagnosis

Exclusion Criteria

Do NOT use V13.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, level 3

Clinical Scenario

Used for patients presenting with injuries from cycling accidents.

Documentation Requirements

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

Specialty Considerations

Emergency medicine providers should ensure that all relevant details of the incident are captured.

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, including cycling accidents. This specificity aids in better tracking and understanding of injury patterns, which can inform public health initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including cycling accidents. This specificity aids in better tracking and understanding of injury patterns, which can inform public health initiatives.

Reimbursement & Billing Impact

reimbursement.

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 use V13.3 accurately?

Documentation should include the details of the incident, such as the type of vehicle involved, the circumstances of the collision, and any injuries sustained. This information is crucial for accurate coding and billing.