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v1.0.0
ICD-10 Guide
ICD-10 CodesV14.2

V14.2

Billable

Unspecified pedal cyclist injured in collision with heavy transport vehicle or bus in nontraffic accident

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

Code Description

ICD-10 V14.2 is a billable code used to indicate a diagnosis of unspecified pedal cyclist injured in collision with heavy transport vehicle or bus in nontraffic accident.

Key Diagnostic Point:

This code is used to classify injuries sustained by pedal cyclists involved in collisions with heavy transport vehicles or buses that occur outside of typical traffic scenarios. Such incidents may take place in private property settings, parking lots, or during organized events where traffic regulations may not apply. The injuries can range from minor abrasions to severe trauma, including fractures or head injuries. Accurate coding is crucial for understanding the epidemiology of cycling injuries and for implementing public health interventions aimed at improving cyclist safety. Documentation should include details about the circumstances of the accident, the type of vehicle involved, and the nature of the injuries sustained.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in defining 'nontraffic' accidents
  • Variability in documentation quality from different healthcare providers
  • Need for specificity in injury details to support coding
  • Potential overlap with other external cause codes

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Failure to specify the type of heavy transport vehicle
  • Misclassification of the accident type (traffic vs. nontraffic)
  • Lack of clarity on the location of the incident

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 circumstances leading to the collision.

Common Clinical Scenarios

Pedal cyclists presenting with injuries after being struck by a bus in a parking lot or during a cycling event.

Billing Considerations

Ensure that the documentation captures the nontraffic nature of the accident to support the use of V14.2.

Trauma Surgery

Documentation Requirements

Trauma assessments must detail the injuries sustained and the context of the accident, including any pre-existing conditions that may affect recovery.

Common Clinical Scenarios

Trauma cases involving cyclists with severe injuries from collisions with heavy vehicles.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use V14.2 When
  • Follow the ICD
  • CM coding guidelines for external causes of morbidity and mortality, ensuring that the code is used in conjunction with the appropriate injury codes
  • Document the circumstances of the accident clearly to justify the use of V14

Exclusion Criteria

Do NOT use V14.2 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

Document the nature of the injuries, the mechanism of injury, and any treatments provided.

Specialty Considerations

Emergency medicine specialists should ensure thorough documentation 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 collection and analysis for public health initiatives aimed at reducing cycling injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data collection and analysis for public health initiatives aimed at reducing cycling injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data collection and analysis for public health initiatives aimed at reducing cycling injuries.

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 I document to support the use of V14.2?

Document the specifics of the accident, including the type of vehicle involved, the location of the incident, and the nature of the injuries sustained. This information is crucial for accurate coding and billing.