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v1.0.0
ICD-10 Guide
ICD-10 CodesV16.1

V16.1

Billable

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

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

Code Description

ICD-10 V16.1 is a billable code used to indicate a diagnosis of pedal cycle passenger injured in collision with other nonmotor vehicle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V16.1 is used to classify injuries sustained by a passenger on a pedal cycle who is involved in a collision with another nonmotor vehicle, such as a pedestrian or another cyclist, in a nontraffic setting. This code is particularly relevant in scenarios where the incident occurs outside of traditional roadways, such as in parks, private properties, or during organized cycling events. Accurate coding requires a thorough understanding of the circumstances surrounding the injury, including the type of nonmotor vehicle involved and the context of the accident. Documentation should detail the nature of the collision, the environment in which it occurred, and any contributing factors, such as weather conditions or visibility issues. This code is essential for tracking morbidity and mortality related to cycling accidents, informing public health initiatives, and guiding safety regulations.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the specific type of nonmotor vehicle involved in the collision.
  • Clarifying whether the accident occurred in a traffic or nontraffic setting.
  • Accurately documenting the circumstances leading to the injury.
  • Differentiating between various types of pedal cycle-related injuries.

Audit Risk Factors

  • Inadequate documentation of the accident's circumstances.
  • Misclassification of the type of vehicle involved.
  • Failure to specify whether the incident occurred in a traffic or nontraffic setting.
  • Inconsistent coding practices among different healthcare providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include a detailed account of the incident, including the mechanism of injury and any relevant environmental factors.

Common Clinical Scenarios

Patients presenting with fractures, lacerations, or contusions after being struck by a nonmotor vehicle while riding as a passenger on a pedal cycle.

Billing Considerations

Ensure that the documentation clearly states the patient's role in the accident and the type of nonmotor vehicle involved.

Trauma Surgery

Documentation Requirements

Trauma notes must detail the injury mechanism, including the type of collision and any pre-existing conditions that may affect recovery.

Common Clinical Scenarios

Trauma cases involving significant injuries from collisions with pedestrians or other cyclists.

Billing Considerations

Accurate coding is crucial for trauma registries and public health data collection.

Coding Guidelines

Inclusion Criteria

Use V16.1 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used in conjunction with the appropriate injury codes
  • Document the external cause of injury in the medical record to support the use of V16

Exclusion Criteria

Do NOT use V16.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used for patients presenting with injuries from a pedal cycle collision.

Documentation Requirements

Document the nature of the injury and the external cause.

Specialty Considerations

Emergency medicine providers should ensure accurate linkage between the diagnosis and the visit level.

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 related to cycling safety.

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 related to cycling safety.

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 related to cycling safety.

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 types of incidents does V16.1 cover?

V16.1 covers injuries sustained by pedal cycle passengers involved in collisions with nonmotor vehicles in nontraffic settings, such as parks or private properties.