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ICD-10 Guide
ICD-10 CodesV18.4

V18.4

Billable

Pedal cycle driver injured in noncollision transport accident in traffic accident

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

Code Description

ICD-10 V18.4 is a billable code used to indicate a diagnosis of pedal cycle driver injured in noncollision transport accident in traffic accident.

Key Diagnostic Point:

The ICD-10 code V18.4 is used to classify injuries sustained by a pedal cycle driver involved in a noncollision transport accident within the context of a traffic accident. This code is particularly relevant for incidents where the cyclist is injured due to factors such as road conditions, mechanical failure of the bicycle, or other environmental hazards, rather than a direct collision with another vehicle. Clinical scenarios may include a cyclist falling due to a pothole or losing control on a slippery surface. Accurate coding is essential for tracking injury patterns, understanding public health implications, and facilitating appropriate resource allocation for cyclist safety initiatives. Documentation should clearly indicate the circumstances of the accident, including environmental factors and any contributing elements that led to the injury, to ensure proper coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for detailed documentation of the accident circumstances
  • Differentiation between collision and noncollision incidents
  • Potential for multiple contributing factors to the injury
  • Variability in local traffic laws and reporting standards

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Misclassification of collision versus noncollision incidents
  • Failure to capture all contributing factors to the injury
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include a detailed account of the incident, including the mechanism of injury, patient statements, and any witness accounts.

Common Clinical Scenarios

Cyclist presenting with injuries after falling due to road conditions or mechanical failure.

Billing Considerations

Ensure that all relevant details about the accident are documented to support the use of V18.4.

Trauma Surgery

Documentation Requirements

Trauma documentation must include a comprehensive assessment of the injuries sustained and the circumstances surrounding the accident.

Common Clinical Scenarios

Patients requiring surgical intervention due to severe injuries from a noncollision accident.

Billing Considerations

Consider the potential for multiple injuries and ensure accurate coding for all related conditions.

Coding Guidelines

Inclusion Criteria

Use V18.4 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to document the specific circumstances of the injury to support the use of V18
  • Coders should ensure that the external cause code is reported in the correct sequence, typically following the injury diagnosis

Exclusion Criteria

Do NOT use V18.4 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 noncollision accident.

Documentation Requirements

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

Specialty Considerations

Emergency medicine specialists should ensure that the nature of the accident is clearly documented.

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 noncollision transport accidents. This specificity aids in better tracking and analysis of cycling-related injuries, 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 noncollision transport accidents. This specificity aids in better tracking and analysis of cycling-related injuries, which can inform public health initiatives.

Reimbursement & Billing Impact

reimbursement and to avoid claim denials.

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 V18.4?

Documentation should include a detailed account of the accident, including the mechanism of injury, environmental factors, and any contributing circumstances that led to the injury.