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ICD-10 Guide
ICD-10 CodesChapter 20: External causes of morbidityV19

V19

Billable

Pedal cycle rider injured in other and unspecified transport accidents

Chapter 20:External causes of morbidity

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

Code Description

ICD-10 V19 is a billable code used to indicate a diagnosis of pedal cycle rider injured in other and unspecified transport accidents.

Key Diagnostic Point:

The ICD-10 code V19 is used to classify injuries sustained by pedal cycle riders involved in transport accidents that do not fall into more specific categories. This code is particularly relevant in cases where the circumstances of the accident are unclear or not explicitly documented. Common scenarios include collisions with motor vehicles, falls from the bicycle, or accidents occurring on shared pathways. Accurate coding is essential for understanding the epidemiology of cycling injuries, which can inform public health initiatives aimed at improving cyclist safety. Documentation should include details about the accident, the environment, and the nature of the injuries sustained, as these factors can influence treatment and outcomes. This code is crucial for tracking morbidity and mortality related to cycling accidents, which are significant public health concerns in many regions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in accident circumstances
  • Variability in documentation quality
  • Need for specificity in injury details
  • Potential overlap with other transport accident codes

Audit Risk Factors

  • Inadequate documentation of accident details
  • Misclassification of the type of transport accident
  • Failure to specify the nature of injuries
  • Inconsistent coding practices among coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, location of the accident, and any contributing factors such as weather conditions.

Common Clinical Scenarios

Cyclist involved in a collision with a vehicle, cyclist falling due to road conditions, or accidents occurring in bike lanes.

Billing Considerations

Ensure that all relevant details are captured to support the use of V19, especially when the accident circumstances are unclear.

Trauma Surgery

Documentation Requirements

Trauma documentation should include injury severity scores, specific injuries sustained, and the mechanism of injury.

Common Clinical Scenarios

Trauma cases involving cyclists with multiple injuries from a transport accident.

Billing Considerations

Accurate coding is critical for trauma registries and research; ensure that V19 is used appropriately when no other specific code applies.

Coding Guidelines

Inclusion Criteria

Use V19 When
  • According to ICD
  • 10 coding guidelines, V19 should be used when the specific circumstances of the transport accident are not documented
  • Coders should ensure that all relevant details are captured in the medical record to support the use of this code

Exclusion Criteria

Do NOT use V19 When
No specific exclusions found.

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used when a cyclist presents to the ED with injuries from an unspecified transport accident.

Documentation Requirements

Document the nature of the injuries and the mechanism of the accident.

Specialty Considerations

Emergency medicine providers should ensure thorough documentation to support coding.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more detailed coding of external causes, including cycling injuries. V19 provides a mechanism to capture unspecified transport accidents, which can help in public health data collection and analysis.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes, including cycling injuries. V19 provides a mechanism to capture unspecified transport accidents, which can help in public health data collection and analysis.

Reimbursement & Billing Impact

reimbursement.

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 code V19?

Use code V19 when a pedal cycle rider is injured in a transport accident that does not fit into more specific categories, and when the details of the accident are not clearly documented.