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ICD-10 Guide
ICD-10 CodesV19.60

V19.60

Billable

Unspecified pedal cyclist injured in collision with unspecified motor vehicles in traffic accident

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

Code Description

ICD-10 V19.60 is a billable code used to indicate a diagnosis of unspecified pedal cyclist injured in collision with unspecified motor vehicles in traffic accident.

Key Diagnostic Point:

The ICD-10 code V19.60 is used to classify injuries sustained by pedal cyclists involved in collisions with motor vehicles during traffic accidents. This code is particularly relevant in the context of public health and trauma care, as it helps to track and analyze the incidence of cycling-related injuries, which can inform safety measures and policy decisions. Pedal cyclists are vulnerable road users, and their injuries can range from minor abrasions to severe trauma, including fractures and head injuries. Accurate coding of these incidents is crucial for understanding the epidemiology of cycling accidents, facilitating appropriate treatment, and ensuring that preventive measures are implemented effectively. This code is often used in emergency departments, trauma centers, and public health reporting to capture the circumstances surrounding these injuries, which can vary widely based on factors such as location, time of day, and the presence of protective gear.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in documentation regarding the specifics of the accident.
  • Variability in the severity of injuries that may not be clearly documented.
  • Potential for misclassification if the type of vehicle involved is not specified.
  • Need for additional codes to capture specific injuries sustained.

Audit Risk Factors

  • Inadequate documentation of the circumstances leading to the injury.
  • Failure to specify the type of motor vehicle involved.
  • Inconsistent coding practices among different healthcare providers.
  • Potential for upcoding if the severity of injuries is overstated.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, including details about the collision, the cyclist's speed, and protective gear used.

Common Clinical Scenarios

A cyclist presents with a head injury after being struck by a car at an intersection.

Billing Considerations

Consideration of helmet use and other protective measures is important for accurate coding and understanding injury severity.

Trauma Surgery

Documentation Requirements

Trauma documentation should include detailed descriptions of injuries, surgical interventions, and the mechanism of injury.

Common Clinical Scenarios

A cyclist with multiple fractures and internal injuries following a collision with a truck.

Billing Considerations

Trauma surgeons must ensure that all injuries are coded accurately to reflect the full extent of trauma sustained.

Coding Guidelines

Inclusion Criteria

Use V19.60 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with diagnosis codes to provide a complete picture of the patient's condition
  • It is essential to document the circumstances of the injury clearly and to use additional codes to specify the nature of the injuries sustained

Exclusion Criteria

Do NOT use V19.60 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 need for emergency care.

Specialty Considerations

Emergency medicine specialists should ensure that the visit level corresponds with 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 detailed coding of external causes of injuries, improving data collection and analysis for public health initiatives aimed at reducing cycling accidents.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, improving data collection and analysis for public health initiatives aimed at reducing cycling accidents.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, improving data collection and analysis for public health initiatives aimed at reducing cycling accidents.

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 V19.60 instead of a more specific code?

Use V19.60 when the details of the collision are not specified, and no other external cause codes apply. If the type of vehicle is known, opt for the more specific code.