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ICD-10 Guide
ICD-10 CodesV19.1

V19.1

Billable

Pedal cycle passenger injured in collision with other and unspecified motor vehicles in nontraffic accident

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

Code Description

ICD-10 V19.1 is a billable code used to indicate a diagnosis of pedal cycle passenger injured in collision with other and unspecified motor vehicles in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V19.1 is used to classify injuries sustained by a passenger on a pedal cycle involved in a collision with other motor vehicles, specifically in nontraffic accidents. Nontraffic accidents refer to incidents that occur outside of public roadways, such as private property or parking lots. This code is crucial for capturing the external cause of morbidity and mortality related to cycling incidents, which can include a range of injuries from minor abrasions to severe trauma. Accurate coding is essential for public health data collection, resource allocation, and injury prevention strategies. It is important to differentiate between traffic and nontraffic incidents, as this impacts the analysis of injury patterns and the development of targeted interventions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between traffic and nontraffic accidents
  • Identifying the specific type of motor vehicle involved
  • Documenting the circumstances of the accident accurately
  • Understanding the context of the injury (e.g., location, time)

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, including details about the collision and the patient's role as a passenger on a pedal cycle.

Common Clinical Scenarios

Patients presenting with injuries from collisions while riding as a passenger on a bicycle, often in nontraffic settings.

Billing Considerations

Emergency physicians should ensure that the documentation clearly states the nature of the accident to avoid misclassification.

Trauma Surgery

Documentation Requirements

Trauma surgeons need comprehensive documentation of the injury mechanism, including the type of vehicle involved and the circumstances of the accident.

Common Clinical Scenarios

Trauma cases involving significant injuries from nontraffic collisions, requiring surgical intervention.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use V19.1 When
  • According to ICD
  • 10 coding guidelines, V19
  • 1 should be used when the patient is a passenger on a pedal cycle involved in a collision with a motor vehicle in a nontraffic accident
  • Coders must ensure that the documentation supports the use of this code and that it is not confused with traffic
  • related incidents

Exclusion Criteria

Do NOT use V19.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a patient presents with significant injuries from a nontraffic accident.

Documentation Requirements

Documentation must support the level of service, including details of the injury and treatment provided.

Specialty Considerations

Emergency medicine specialists should ensure that the visit is coded accurately based on the complexity of the case.

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 cycles. This specificity aids in better tracking and analysis of injury patterns.

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 cycles. This specificity aids in better tracking and analysis of injury patterns.

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

What should I document to support the use of V19.1?

Document the specifics of the accident, including the type of motor vehicle involved, the location of the incident, and the patient's role as a passenger on a pedal cycle. Ensure that the details clearly indicate that it was a nontraffic accident.