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v1.0.0
ICD-10 Guide
ICD-10 CodesV16.0

V16.0

Billable

Pedal cycle driver injured in collision with other nonmotor vehicle in nontraffic accident

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

Code Description

ICD-10 V16.0 is a billable code used to indicate a diagnosis of pedal cycle driver injured in collision with other nonmotor vehicle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V16.0 is used to classify injuries sustained by a pedal cycle driver involved in a collision with a nonmotor vehicle, such as a pedestrian, animal, or another cyclist, in a nontraffic setting. This code is particularly relevant in urban environments where cyclists may encounter pedestrians or other cyclists in parks, on sidewalks, or in other areas not designated as roadways. The injuries can range from minor abrasions to severe trauma, including fractures or head injuries. Accurate coding is essential for understanding the epidemiology of cycling injuries and for implementing public health strategies aimed at improving cyclist safety. Documentation should include details about the circumstances of the accident, the type of nonmotor vehicle involved, and the nature of the injuries sustained.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact nature of the collision (e.g., with a pedestrian vs. another cyclist)
  • Differentiating between traffic and nontraffic accidents
  • Documenting the specific injuries sustained
  • Understanding the context of the accident (e.g., location, conditions)

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Misclassification of the type of vehicle involved
  • Failure to specify the location of the accident
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly describe the mechanism of injury, including details about the collision and the patient's condition upon arrival.

Common Clinical Scenarios

Patients presenting with lacerations, fractures, or head injuries after a collision with a pedestrian or another cyclist.

Billing Considerations

Consider the need for additional codes to capture specific injuries and any underlying conditions.

Trauma Surgery

Documentation Requirements

Trauma documentation must include a detailed account of the injury mechanism, injury severity, and any surgical interventions performed.

Common Clinical Scenarios

Severe injuries requiring surgical intervention, such as orthopedic repairs or neurosurgery.

Billing Considerations

Ensure that all injuries are documented and coded accurately to reflect the full extent of trauma.

Coding Guidelines

Inclusion Criteria

Use V16.0 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to document the circumstances of the injury, including the type of nonmotor vehicle involved and the location of the accident

Exclusion Criteria

Do NOT use V16.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, level 3

Clinical Scenario

Used for a patient presenting with injuries from a nontraffic cycling 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 mechanism of injury is clearly documented.

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 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 of injuries, 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 of injuries, 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 V16.0?

You should document the specifics of the accident, including the type of nonmotor vehicle involved, the circumstances leading to the collision, and the nature of the injuries sustained by the cyclist.