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ICD-10 Guide
ICD-10 CodesV18.5

V18.5

Billable

Pedal cycle passenger injured in noncollision transport accident in traffic accident

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

Code Description

ICD-10 V18.5 is a billable code used to indicate a diagnosis of pedal cycle passenger injured in noncollision transport accident in traffic accident.

Key Diagnostic Point:

The ICD-10 code V18.5 is used to classify injuries sustained by a passenger on a pedal cycle involved in a noncollision transport accident within a traffic context. This code is particularly relevant for incidents where the pedal cycle is not directly involved in a collision with another vehicle but may be affected by other factors such as road conditions, mechanical failure, or other environmental hazards. Clinical scenarios may include a cyclist being thrown from their bike due to hitting a pothole or being startled by a nearby vehicle, leading to injury. Accurate coding of this scenario is crucial for understanding the epidemiology of cycling injuries and for implementing public health strategies aimed at improving cyclist safety. Documentation should clearly indicate the circumstances of the accident, including the environment and any contributing factors, to ensure proper coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact nature of the accident (noncollision vs. collision)
  • Differentiating between types of injuries sustained
  • Understanding the context of the accident (traffic conditions, environmental factors)
  • Ensuring accurate documentation of the passenger's role on the pedal cycle

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Misclassification of the type of transport accident
  • Failure to specify the role of the patient (passenger vs. operator)
  • Inconsistent coding practices among coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must include a detailed account of the incident, including the mechanism of injury and any contributing factors.

Common Clinical Scenarios

Patients presenting with fractures or soft tissue injuries after falling from a pedal cycle due to environmental hazards.

Billing Considerations

Consideration of other external cause codes that may apply if the accident involved additional factors.

Trauma Surgery

Documentation Requirements

Trauma documentation should include a comprehensive assessment of injuries, mechanism of injury, and any surgical interventions performed.

Common Clinical Scenarios

Trauma cases involving significant injuries from falls or accidents while riding as a passenger on a pedal cycle.

Billing Considerations

Accurate coding is essential for trauma registry data and for tracking injury patterns.

Coding Guidelines

Inclusion Criteria

Use V18.5 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 circumstances of the injury clearly and to use the most specific code available

Exclusion Criteria

Do NOT use V18.5 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, level 3

Clinical Scenario

Used when a patient presents to the ED with injuries from a noncollision transport accident.

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 appropriate visit level.

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 for public health initiatives and injury prevention programs.

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

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

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 V18.5?

Use V18.5 when documenting injuries sustained by a passenger on a pedal cycle involved in a noncollision transport accident, ensuring that the circumstances of the accident are well-documented.