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ICD-10 Guide
ICD-10 CodesV16.5

V16.5

Billable

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

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

Code Description

ICD-10 V16.5 is a billable code used to indicate a diagnosis of pedal cycle passenger injured in collision with other nonmotor vehicle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V16.5 is used to classify injuries sustained by a passenger on a pedal cycle who is involved in a collision with another nonmotor vehicle during a traffic accident. This code is crucial for accurately capturing the circumstances surrounding the injury, which can include collisions with pedestrians, animals, or other nonmotorized vehicles such as scooters or skateboards. Accurate coding is essential for public health data collection, injury prevention strategies, and resource allocation. It helps in understanding the epidemiology of cycling injuries and informs policy decisions regarding road safety measures for cyclists. Documentation should include details about the nature of the collision, the type of nonmotor vehicle involved, and the specific injuries sustained by the passenger.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the type of nonmotor vehicle involved.
  • Differentiation between various types of traffic accidents.
  • Potential for multiple external cause codes to be applicable.
  • Variability in injury severity and associated codes.

Audit Risk Factors

  • Inadequate documentation of the circumstances of the accident.
  • Failure to specify the type of nonmotor vehicle involved.
  • Incorrect assignment of multiple external cause codes.
  • Lack of clarity in the relationship between the injury and the external cause.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, type of nonmotor vehicle, and any immediate interventions performed.

Common Clinical Scenarios

A cyclist is struck by a pedestrian while riding on a shared path, resulting in injuries that require emergency care.

Billing Considerations

Ensure that all relevant details about the incident are captured, including witness statements if available.

Trauma Surgery

Documentation Requirements

Trauma documentation must include detailed descriptions of the injuries sustained, the mechanism of injury, and any surgical interventions performed.

Common Clinical Scenarios

A pedal cycle passenger sustains fractures and lacerations after colliding with a skateboarder.

Billing Considerations

Consider the potential for multiple injuries and the need for comprehensive coding to reflect all aspects of the trauma.

Coding Guidelines

Inclusion Criteria

Use V16.5 When
  • According to the ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is important to report the external cause code in the secondary position to provide context for the injury diagnosis

Exclusion Criteria

Do NOT use V16.5 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

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

Documentation Requirements

Document the nature of the injuries and the external cause code.

Specialty Considerations

Emergency medicine specialists should ensure accurate coding to reflect the complexity of the case.

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 and enhancing public health surveillance efforts.

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

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

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 support the use of V16.5?

Documentation should include details about the type of nonmotor vehicle involved, the circumstances of the collision, and the specific injuries sustained by the passenger.