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ICD-10 Guide
ICD-10 CodesV19.09

V19.09

Billable

Pedal cycle driver injured in collision with other motor vehicles in nontraffic accident

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

Code Description

ICD-10 V19.09 is a billable code used to indicate a diagnosis of pedal cycle driver injured in collision with other motor vehicles in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V19.09 is used to classify injuries sustained by a pedal cycle driver involved in a collision with other motor vehicles that occurs outside of traditional traffic scenarios. This may include incidents occurring in parking lots, private property, or during organized events where vehicles are present but not in a typical roadway context. Accurate coding of this scenario is crucial for understanding the epidemiology of cycling injuries, facilitating appropriate public health interventions, and ensuring that healthcare providers receive proper reimbursement for services rendered. Documentation should clearly indicate the circumstances of the accident, including the location and nature of the collision, to support the use of this specific external cause code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact nature of the accident (nontraffic vs. traffic)
  • Identifying the specific circumstances leading to the collision
  • Differentiating between types of vehicles involved
  • Ensuring accurate documentation of the location of the incident

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Misclassification of the accident type (traffic vs. nontraffic)
  • Failure to specify the type of vehicle involved
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must detail the mechanism of injury, location, and type of vehicles involved.

Common Clinical Scenarios

Patients presenting with fractures, lacerations, or contusions following a collision with a motor vehicle in a nontraffic setting.

Billing Considerations

Ensure that the documentation explicitly states the nontraffic nature of the incident to support the use of V19.09.

Trauma Surgery

Documentation Requirements

Trauma assessments should include detailed descriptions of the injury mechanism and any relevant imaging findings.

Common Clinical Scenarios

Trauma cases involving significant injuries from collisions in parking lots or during events.

Billing Considerations

Accurate coding is essential for trauma registries and may impact quality metrics.

Coding Guidelines

Inclusion Criteria

Use V19.09 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 to describe the event

Exclusion Criteria

Do NOT use V19.09 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 ED with injuries from a nontraffic collision.

Documentation Requirements

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

Specialty Considerations

Emergency medicine providers should ensure that the mechanism of injury 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 nontraffic accidents involving pedal cyclists. This specificity aids in better tracking and understanding of injury patterns and public health implications.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including nontraffic accidents involving pedal cyclists. This specificity aids in better tracking and understanding of injury patterns and public health implications.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including nontraffic accidents involving pedal cyclists. This specificity aids in better tracking and understanding of injury patterns and public health implications.

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 documenting the location of the accident?

Documenting the location is crucial for accurately applying the V19.09 code, as it specifies that the incident occurred in a nontraffic setting, which differentiates it from traffic-related injuries.