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ICD-10 Guide
ICD-10 CodesV19.4

V19.4

Billable

Pedal cycle driver injured in collision with other and unspecified motor vehicles in traffic accident

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

Code Description

ICD-10 V19.4 is a billable code used to indicate a diagnosis of pedal cycle driver injured in collision with other and unspecified motor vehicles in traffic accident.

Key Diagnostic Point:

The ICD-10 code V19.4 is used to classify injuries sustained by a pedal cycle driver involved in a collision with other motor vehicles, including unspecified vehicles, during a traffic accident. This code captures the external cause of morbidity and mortality related to cycling accidents, which are significant public health concerns due to the increasing number of cyclists on the roads. Injuries can range from minor abrasions to severe trauma, including fractures, head injuries, and internal injuries. Accurate coding is essential for tracking injury patterns, implementing safety measures, and allocating resources for public health initiatives aimed at reducing cycling-related accidents. Documentation should include details about the circumstances of the accident, the type of vehicles involved, and the nature of the injuries sustained to ensure proper coding and analysis of trends in cycling safety.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation quality regarding the circumstances of the accident.
  • Need for precise details about the type of motor vehicle involved.
  • Differentiation between various types of collisions (e.g., with cars, trucks, etc.).
  • Potential for overlapping codes if multiple injuries are sustained.

Audit Risk Factors

  • Inadequate documentation of the accident circumstances.
  • Failure to specify the type of motor vehicle involved.
  • Incorrect linkage of injuries to the external cause code.
  • Use of the code without supporting clinical evidence.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, type of vehicle involved, and any pre-existing conditions that may affect treatment.

Common Clinical Scenarios

A cyclist presenting with a head injury after being struck by a car, requiring immediate assessment and intervention.

Billing Considerations

Consideration of helmet use and other protective measures that may influence injury severity.

Trauma Surgery

Documentation Requirements

Detailed trauma documentation including injury patterns, surgical interventions, and post-operative care.

Common Clinical Scenarios

A cyclist with multiple fractures and internal injuries following a collision with a truck, necessitating surgical intervention.

Billing Considerations

Accurate coding of all injuries sustained during the incident is crucial for comprehensive trauma care.

Coding Guidelines

Inclusion Criteria

Use V19.4 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is essential to capture the full context of the incident, including the location, activity at the time of the accident, and the type of vehicle involved

Exclusion Criteria

Do NOT use V19.4 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a cyclist presents with severe injuries requiring immediate intervention.

Documentation Requirements

Documentation must reflect the severity of the condition and the complexity of care provided.

Specialty Considerations

Emergency medicine specialists should ensure that all aspects of the patient's condition are documented to support the level of service billed.

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 of injuries, including cycling accidents. This specificity aids in better tracking of injury patterns and informs public health initiatives aimed at improving cyclist safety.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, including cycling accidents. This specificity aids in better tracking of injury patterns and informs public health initiatives aimed at improving cyclist safety.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, including cycling accidents. This specificity aids in better tracking of injury patterns and informs public health initiatives aimed at improving cyclist safety.

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 V19.4?

Documentation should include details about the accident, such as the type of motor vehicle involved, the circumstances leading to the collision, and the specific injuries sustained by the cyclist.