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ICD-10 Guide
ICD-10 CodesV19.69

V19.69

Billable

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

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

Code Description

ICD-10 V19.69 is a billable code used to indicate a diagnosis of unspecified pedal cyclist injured in collision with other motor vehicles in traffic accident.

Key Diagnostic Point:

The ICD-10 code V19.69 is used to classify injuries sustained by pedal cyclists involved in collisions with motor vehicles during traffic accidents. This code is essential for capturing the external cause of morbidity and mortality related to cycling accidents, which can lead to significant injuries ranging from minor abrasions to severe trauma, including fractures and head injuries. Accurate coding is crucial for public health data collection, resource allocation, and injury prevention strategies. The unspecified nature of this code indicates that the specific details of the injury are not documented, which can limit the ability to analyze trends and implement targeted interventions. It is commonly used in emergency departments and trauma centers where initial assessments may not provide complete details of the incident. Proper documentation of the circumstances surrounding the accident, including the type of vehicle involved and the conditions at the time of the collision, is vital for accurate coding and subsequent analysis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Lack of specificity in the code, which can lead to ambiguity in documentation.
  • Variability in injury severity and types, making it difficult to determine the most appropriate code.
  • Potential for misclassification if additional details are not captured.
  • Need for thorough documentation of the accident circumstances to support the code.

Audit Risk Factors

  • Inadequate documentation of the accident details leading to unspecified coding.
  • Failure to capture the severity of injuries associated with the collision.
  • Inconsistent coding practices among different coders or facilities.
  • Lack of clarity on the type of motor vehicle involved in the accident.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Complete documentation of the mechanism of injury, including details of the collision and patient presentation.

Common Clinical Scenarios

Pedal cyclist presenting with injuries after being struck by a car, requiring immediate assessment and treatment.

Billing Considerations

Ensure that all relevant details of the accident are documented to support the use of V19.69.

Trauma Surgery

Documentation Requirements

Detailed trauma assessment notes, including injury types and mechanisms.

Common Clinical Scenarios

Trauma cases involving cyclists with multiple injuries from a vehicular collision.

Billing Considerations

Accurate coding is critical for trauma registries and quality improvement initiatives.

Coding Guidelines

Inclusion Criteria

Use V19.69 When
  • According to the ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is important to capture the external cause of injury in the medical record to support the use of V19

Exclusion Criteria

Do NOT use V19.69 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 emergency department with injuries from a collision.

Documentation Requirements

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

Specialty Considerations

Emergency medicine specialists should ensure thorough documentation to support the visit level.

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 those related to cycling accidents. This has improved data collection and analysis for public health initiatives aimed at reducing cycling-related injuries.

ICD-9 vs ICD-10

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

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 V19.69?

Document the specifics of the accident, including the type of vehicle involved, the circumstances leading to the collision, and the nature of the injuries sustained by the cyclist.