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v1.0.0
ICD-10 Guide
ICD-10 CodesV17.4

V17.4

Billable

Pedal cycle driver injured in collision with fixed or stationary object in traffic accident

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

Code Description

ICD-10 V17.4 is a billable code used to indicate a diagnosis of pedal cycle driver injured in collision with fixed or stationary object in traffic accident.

Key Diagnostic Point:

The ICD-10 code V17.4 is used to classify injuries sustained by a pedal cycle driver involved in a collision with a fixed or stationary object during a traffic accident. This code is essential for capturing the external cause of morbidity and mortality related to cycling accidents, which can include collisions with barriers, parked vehicles, or other immovable structures. Accurate coding is crucial for public health data collection, injury prevention strategies, and resource allocation. The code helps healthcare providers and public health officials understand the circumstances surrounding cycling injuries, which can inform safety campaigns and policy decisions aimed at reducing such incidents. Documentation should include details about the nature of the collision, the environment (urban vs. rural), 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 accident circumstances
  • Differentiation between types of stationary objects involved
  • Potential for multiple external cause codes to be applicable
  • Variability in injury severity and associated codes

Audit Risk Factors

  • Inadequate documentation of the accident scene
  • Failure to specify the type of stationary object 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 describe the mechanism of injury, including the type of stationary object and the circumstances of the collision.

Common Clinical Scenarios

A cyclist colliding with a parked car or a guardrail, requiring immediate medical attention.

Billing Considerations

Consideration of other injuries sustained in the accident and the need for comprehensive documentation to support coding.

Trauma Surgery

Documentation Requirements

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

Common Clinical Scenarios

A cyclist presenting with fractures or lacerations after hitting a fixed object.

Billing Considerations

Accurate coding is essential for trauma registries and for understanding injury patterns in cycling accidents.

Coding Guidelines

Inclusion Criteria

Use V17.4 When
  • According to ICD
  • 10 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 the primary diagnosis code reflecting the injury sustained

Exclusion Criteria

Do NOT use V17.4 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

Documentation must support the level of service provided, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine specialists should ensure that the external cause code is linked to the visit.

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, improving data accuracy for public health initiatives and injury prevention strategies related to cycling accidents.

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

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

Resources

Clinical References

  • •
    CDC Injury Prevention & Control

Coding & Billing References

  • •
    CDC Injury Prevention & Control

Frequently Asked Questions

What should I document to support the use of V17.4?

You should document the specific circumstances of the collision, including the type of stationary object involved, the environment, and any contributing factors such as weather conditions.