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v1.0.0
ICD-10 Guide
ICD-10 CodesV41.3

V41.3

Billable

Unspecified car occupant injured in collision with pedal cycle in nontraffic accident

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

Code Description

ICD-10 V41.3 is a billable code used to indicate a diagnosis of unspecified car occupant injured in collision with pedal cycle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V41.3 is used to classify injuries sustained by an unspecified car occupant involved in a collision with a pedal cycle during a nontraffic accident. This code is particularly relevant in scenarios where the incident occurs in a private setting, such as a driveway or parking lot, rather than on public roads. The injuries may vary widely, from minor bruises to more severe trauma, depending on the circumstances of the collision. Accurate coding is essential for tracking morbidity and mortality associated with such incidents, which can inform public health initiatives aimed at reducing injuries related to nontraffic accidents. Documentation should include details about the nature of the accident, the environment in which it occurred, and the specific injuries sustained to ensure proper coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in the term 'unspecified' which may lead to misclassification.
  • Variability in documentation quality regarding the specifics of the accident.
  • Differentiation between traffic and nontraffic accidents can be challenging.
  • Potential overlap with other external cause codes that may apply.

Audit Risk Factors

  • Inadequate documentation of the accident's specifics.
  • Misclassification of the accident type (traffic vs. nontraffic).
  • Failure to capture the full extent of injuries sustained.
  • Inconsistent use of external cause codes across different providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly describe the mechanism of injury, location of the accident, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with injuries from collisions in parking lots or driveways, often involving low-speed impacts.

Billing Considerations

Ensure that the documentation specifies that the incident was a nontraffic accident to avoid misapplication of traffic-related codes.

Trauma Surgery

Documentation Requirements

Detailed trauma assessments and surgical notes should include the nature of the injuries and the context of the accident.

Common Clinical Scenarios

Trauma cases involving significant injuries from collisions with pedal cycles, requiring surgical intervention.

Billing Considerations

Accurate coding is critical for trauma registries and may impact quality metrics and reimbursement.

Coding Guidelines

Inclusion Criteria

Use V41.3 When
  • Follow the ICD
  • CM coding guidelines for external causes of morbidity
  • Ensure that the code is used in conjunction with the appropriate injury codes to provide a complete picture of the patient's condition

Exclusion Criteria

Do NOT use V41.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, level 3

Clinical Scenario

Used for patients presenting with moderate severity injuries from a nontraffic accident.

Documentation Requirements

Document the patient's condition, treatment provided, and any referrals made.

Specialty Considerations

Emergency medicine providers should ensure that the visit level reflects 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, improving the ability to track and analyze injury data related to nontraffic accidents. This specificity aids in public health initiatives aimed at reducing such incidents.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes, improving the ability to track and analyze injury data related to nontraffic accidents. This specificity aids in public health initiatives aimed at reducing such incidents.

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 be documented to support the use of V41.3?

Documentation should include details about the accident's location, the mechanism of injury, and the specific injuries sustained. This information is crucial for accurate coding and billing.