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v1.0.0
ICD-10 Guide
ICD-10 CodesV14.3

V14.3

Billable

Person boarding or alighting a pedal cycle injured in collision with heavy transport vehicle or bus

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

Code Description

ICD-10 V14.3 is a billable code used to indicate a diagnosis of person boarding or alighting a pedal cycle injured in collision with heavy transport vehicle or bus.

Key Diagnostic Point:

This code is used to classify injuries sustained by individuals who are boarding or alighting from a pedal cycle and are involved in a collision with a heavy transport vehicle or bus. Such incidents often occur in urban settings where cyclists share the road with larger vehicles. The injuries can range from minor abrasions to severe trauma, including fractures, head injuries, and internal injuries, depending on the speed and size of the vehicle involved. Accurate coding of these incidents is crucial for public health data collection, injury prevention strategies, and resource allocation for emergency services. It is essential for coders to ensure that the circumstances of the injury are well-documented, including the location, time of day, and any contributing factors such as weather conditions or visibility issues.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the circumstances surrounding the incident.
  • Differentiation between types of vehicles involved (heavy transport vs. light vehicles).
  • Potential for multiple injuries requiring additional codes.
  • Variability in local traffic laws and regulations affecting incident reporting.

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, patient presentation, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with trauma after being struck by a bus while cycling, requiring imaging and potential surgical intervention.

Billing Considerations

Consideration of the patient's pre-existing conditions that may affect recovery and treatment.

Trauma Surgery

Documentation Requirements

Detailed trauma assessments, including injury severity scores and surgical interventions performed.

Common Clinical Scenarios

Trauma cases involving multiple injuries from a collision, necessitating comprehensive surgical management.

Billing Considerations

Documentation of the mechanism of injury is critical for trauma registries and quality improvement initiatives.

Coding Guidelines

Inclusion Criteria

Use V14.3 When
  • Coders should refer to the official ICD
  • CM coding guidelines, particularly those related to external causes of morbidity
  • It is essential to capture the full context of the injury, including the location and circumstances, to ensure accurate coding

Exclusion Criteria

Do NOT use V14.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

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

Documentation Requirements

Documentation must include the mechanism of injury and any treatments provided.

Specialty Considerations

Emergency medicine specialists should ensure thorough documentation of the patient's condition and treatment plan.

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 for public health and injury prevention initiatives.

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

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

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 code V14.3?

Documentation should include the mechanism of injury, type of vehicle involved, and any injuries sustained. Clear details about the circumstances of the incident are crucial.