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v1.0.0
ICD-10 Guide
ICD-10 CodesV16.3

V16.3

Billable

Person boarding or alighting a pedal cycle injured in collision with other nonmotor vehicle in nontraffic accident

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

Code Description

ICD-10 V16.3 is a billable code used to indicate a diagnosis of person boarding or alighting a pedal cycle injured in collision with other nonmotor vehicle in nontraffic accident.

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 another nonmotor vehicle, such as a pedestrian, animal, or bicycle, in a nontraffic setting. Nontraffic accidents can occur in various environments, including parks, private property, or other areas not designated as public roadways. The injuries may range from minor abrasions to severe trauma, depending on the circumstances of the collision. Accurate coding is essential for understanding the epidemiology of such injuries, which can inform public health initiatives aimed at reducing accidents and improving safety measures for cyclists. 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 circumstances of the accident (boarding or alighting)
  • Identifying the type of nonmotor vehicle involved in the collision
  • Differentiating between traffic and nontraffic accidents
  • Ensuring accurate documentation of injury severity

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Misclassification of the accident as traffic vs. nontraffic
  • Failure to specify the type of nonmotor vehicle involved
  • 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 any immediate treatment provided.

Common Clinical Scenarios

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

Billing Considerations

Ensure that the documentation specifies whether the patient was boarding or alighting from the cycle at the time of the accident.

Trauma Surgery

Documentation Requirements

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

Common Clinical Scenarios

Patients with significant trauma requiring surgical intervention due to collisions with nonmotor vehicles.

Billing Considerations

Accurate coding is crucial for trauma registries and for tracking injury patterns in the population.

Coding Guidelines

Inclusion Criteria

Use V16.3 When
  • Follow the ICD
  • CM coding guidelines for external causes of morbidity and mortality
  • Ensure that the code is used in conjunction with the appropriate injury codes to provide a complete picture of the patient's condition

Exclusion Criteria

Do NOT use V16.3 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 nonmotor vehicle collision.

Documentation Requirements

Document the nature of the injuries and the mechanism of the accident.

Specialty Considerations

Emergency medicine providers 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 of injuries, improving data collection and analysis for public health initiatives aimed at reducing accidents.

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 accidents.

Reimbursement & Billing Impact

reimbursement and for tracking injury trends.

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 V16.3?

Documentation should include details about the accident, such as whether the patient was boarding or alighting from the bike, the type of nonmotor vehicle involved, and the nature of the injuries sustained.