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ICD-10 Guide
ICD-10 CodesV18.2

V18.2

Billable

Unspecified pedal cyclist injured in noncollision transport accident in nontraffic accident

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

Code Description

ICD-10 V18.2 is a billable code used to indicate a diagnosis of unspecified pedal cyclist injured in noncollision transport accident in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V18.2 is used to classify injuries sustained by pedal cyclists who are involved in noncollision transport accidents that occur outside of traffic scenarios. This code is particularly relevant for incidents where cyclists may be injured due to falls, equipment failure, or other non-traffic related events. For instance, a cyclist may sustain injuries while riding on a bike path that is not adjacent to road traffic, or while participating in a cycling event that does not involve vehicular interaction. Accurate coding of this scenario is crucial for understanding the epidemiology of cycling injuries and for implementing public health strategies aimed at reducing such incidents. Documentation should clearly indicate the circumstances surrounding the injury to ensure appropriate coding and analysis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in documentation regarding the nature of the accident
  • Variability in reporting standards across different healthcare settings
  • Potential overlap with other external cause codes
  • Need for specificity in describing the mechanism of injury

Audit Risk Factors

  • Inadequate documentation of the accident context
  • Misuse of unspecified codes leading to potential denials
  • Failure to capture the mechanism of injury accurately
  • Inconsistent coding practices across different providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, location, and circumstances leading to the accident. Detailed notes on the patient's condition upon arrival and any immediate interventions are essential.

Common Clinical Scenarios

Common scenarios include cyclists falling due to uneven surfaces, mechanical failures, or collisions with stationary objects.

Billing Considerations

Emergency physicians should ensure that the documentation reflects the nontraffic nature of the incident to support the use of V18.2.

Trauma Surgery

Documentation Requirements

Trauma surgeons need comprehensive documentation of the injury's mechanism, including any surgical interventions performed and the patient's trajectory of care.

Common Clinical Scenarios

Trauma cases may involve severe injuries from falls or accidents during cycling events.

Billing Considerations

Accurate coding is critical for trauma registries and for understanding injury patterns in cyclists.

Coding Guidelines

Inclusion Criteria

Use V18.2 When
  • According to ICD
  • CM guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • 2 should be reported only when the specific circumstances of the injury are documented, and it is essential to capture the full context of the accident

Exclusion Criteria

Do NOT use V18.2 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 noncollision accident.

Documentation Requirements

Documentation must include the reason for the visit, examination findings, and treatment provided.

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 of injuries, including nontraffic accidents. This specificity aids in better tracking and analysis of injury patterns, which can inform public health initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including nontraffic accidents. This specificity aids in better tracking and analysis of injury patterns, which can inform public health initiatives.

Reimbursement & Billing Impact

reimbursement and for maintaining compliance with coding standards.

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

When should I use V18.2 instead of V18.1?

Use V18.2 when the cyclist is injured in a noncollision transport accident that does not involve any traffic. If the injury occurs due to a collision with another vehicle, V18.1 should be used instead.