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ICD-10 Guide
ICD-10 CodesV19.88

V19.88

Billable

Pedal cyclist (driver) (passenger) injured in other specified transport accidents

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

Code Description

ICD-10 V19.88 is a billable code used to indicate a diagnosis of pedal cyclist (driver) (passenger) injured in other specified transport accidents.

Key Diagnostic Point:

The ICD-10 code V19.88 is used to classify injuries sustained by pedal cyclists, whether they are drivers or passengers, in transport accidents that are not specifically categorized elsewhere. This code encompasses a variety of scenarios, including collisions with motor vehicles, falls from bicycles, and accidents involving other forms of transport where the cyclist is involved. Accurate coding requires a thorough understanding of the circumstances surrounding the incident, including the type of transport involved and the nature of the injuries sustained. Documentation should detail the specifics of the accident, including the environment, the actions leading to the injury, and any contributing factors such as weather conditions or road hazards. This code is crucial for tracking morbidity and mortality related to cycling accidents, which can inform public health initiatives aimed at improving cyclist safety and reducing injury rates.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of transport scenarios that may not be clearly defined
  • Need for detailed documentation of the accident circumstances
  • Potential overlap with other external cause codes
  • Variability in injury severity and types

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Misclassification of the type of transport involved
  • Failure to link to the primary diagnosis accurately
  • Inconsistent use of external cause codes across different cases

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include a detailed account of the incident, including time, location, and mechanism of injury.

Common Clinical Scenarios

Cyclist involved in a collision with a car, fall from a bicycle due to road conditions.

Billing Considerations

Ensure that all contributing factors are documented to support the use of V19.88.

Trauma Surgery

Documentation Requirements

Trauma assessments must detail the nature of injuries and the mechanism of injury, including any surgical interventions.

Common Clinical Scenarios

Severe injuries from a bicycle accident requiring surgical intervention.

Billing Considerations

Accurate coding is essential for trauma registry data and for tracking injury patterns.

Coding Guidelines

Inclusion Criteria

Use V19.88 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • Coders must ensure that the external cause code accurately reflects the circumstances of the injury and is supported by the clinical documentation

Exclusion Criteria

Do NOT use V19.88 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 to the ED with severe injuries.

Documentation Requirements

Detailed documentation of the presenting injuries and treatment provided.

Specialty Considerations

Emergency medicine specialists should ensure accurate coding to reflect the complexity of care.

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, improving data accuracy and enabling better tracking of injury patterns among cyclists.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy and enabling better tracking of injury patterns among cyclists.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy and enabling better tracking of injury patterns among cyclists.

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 V19.88?

Use V19.88 when documenting injuries sustained by pedal cyclists in transport accidents that are not classified elsewhere. Ensure that the documentation supports the specifics of the incident.