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ICD-10 Guide
ICD-10 CodesV18.1

V18.1

Billable

Pedal cycle passenger injured in noncollision transport accident in nontraffic accident

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

Code Description

ICD-10 V18.1 is a billable code used to indicate a diagnosis of pedal cycle passenger injured in noncollision transport accident in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V18.1 is used to classify injuries sustained by a passenger on a pedal cycle who is involved in a noncollision transport accident that occurs outside of traffic. This may include incidents such as falling off the bicycle while being transported, accidents occurring on private property, or mishaps during recreational cycling activities. The code captures the external cause of morbidity and mortality related to nontraffic incidents, emphasizing the importance of identifying the context of the injury for public health data collection and resource allocation. Accurate coding of such incidents is crucial for understanding the epidemiology of cycling injuries and for implementing safety measures to reduce future occurrences.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the context of the accident (nontraffic vs. traffic)
  • Differentiating between collision and noncollision incidents
  • Identifying the role of the patient (passenger vs. operator)
  • Documenting the specifics of the accident accurately

Audit Risk Factors

  • Inaccurate documentation of the accident type
  • Misclassification of the role (passenger vs. operator)
  • Failure to specify the nontraffic nature of the accident
  • Inadequate detail in the clinical narrative

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, location of the incident, and any contributing factors to ensure accurate coding.

Common Clinical Scenarios

Patients presenting with injuries from falls while riding as a passenger on a bicycle, such as fractures or contusions.

Billing Considerations

Emergency physicians should ensure that the narrative clearly indicates the passenger's role and the nature of the accident to avoid misclassification.

Trauma Surgery

Documentation Requirements

Trauma documentation should include detailed descriptions of the injury mechanism, patient history, and any pre-existing conditions that may affect treatment.

Common Clinical Scenarios

Trauma cases involving passengers who sustain injuries during nontraffic cycling accidents, requiring surgical intervention.

Billing Considerations

Trauma surgeons should be aware of the importance of accurately coding external causes to reflect the true nature of the injuries sustained.

Coding Guidelines

Inclusion Criteria

Use V18.1 When
  • According to ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to report the external cause code to provide context for the injury and to follow the guidelines for sequencing these codes appropriately

Exclusion Criteria

Do NOT use V18.1 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 with injuries from a noncollision transport accident.

Documentation Requirements

Document the nature of the injury, mechanism of injury, and any treatments provided.

Specialty Considerations

Emergency medicine specialists should ensure that the visit level reflects 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, improving data accuracy for public health initiatives and injury prevention strategies.

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.

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.

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 is the importance of coding V18.1 accurately?

Accurate coding of V18.1 is crucial for understanding the epidemiology of cycling injuries, guiding public health initiatives, and ensuring appropriate resource allocation for injury prevention.