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v1.0.0
ICD-10 Guide
ICD-10 CodesV41.4

V41.4

Billable

Person boarding or alighting a car injured in collision with pedal cycle

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

Code Description

ICD-10 V41.4 is a billable code used to indicate a diagnosis of person boarding or alighting a car injured in collision with pedal cycle.

Key Diagnostic Point:

The ICD-10 code V41.4 is used to classify injuries sustained by individuals who are boarding or alighting from a motor vehicle and are subsequently involved in a collision with a pedal cycle. This code captures the external cause of morbidity and mortality associated with such incidents, which can lead to a variety of injuries ranging from minor abrasions to severe trauma. The context of this code is particularly relevant in urban settings where pedestrian and cyclist traffic is high, and it highlights the importance of road safety measures. Accurate coding of these incidents is crucial for public health data collection, injury prevention strategies, and resource allocation for emergency services. Documentation should include details about the circumstances of the incident, the type of vehicle involved, and the nature of the injuries sustained.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the incident circumstances
  • Differentiation between types of vehicles involved
  • Potential for multiple external cause codes to be applicable
  • Variability in injury severity and associated codes

Audit Risk Factors

  • Inadequate documentation of the incident details
  • Failure to capture all relevant external cause codes
  • Misclassification of the type of vehicle involved
  • Inconsistent coding practices across different healthcare settings

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly describe the mechanism of injury, including the type of vehicle and cyclist involved, and any immediate treatment provided.

Common Clinical Scenarios

Patients presenting with lacerations, fractures, or contusions after being struck while boarding or alighting from a vehicle.

Billing Considerations

Consider the need for additional codes to capture specific injuries and any pre-existing conditions that may affect treatment.

Trauma Surgery

Documentation Requirements

Trauma registries require detailed accounts of the injury mechanism, including the speed of the vehicle and the impact force.

Common Clinical Scenarios

Severe injuries requiring surgical intervention, such as pelvic fractures or head trauma from collisions.

Billing Considerations

Ensure accurate coding of all injuries sustained, as trauma cases often involve multiple body systems.

Coding Guidelines

Inclusion Criteria

Use V41.4 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the external cause code is sequenced appropriately with the primary diagnosis code
  • Document the circumstances surrounding the injury, including the location and time of the incident

Exclusion Criteria

Do NOT use V41.4 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, level 3

Clinical Scenario

Used when a patient presents to the emergency department with injuries from a collision with a pedal cycle.

Documentation Requirements

Document the patient's presenting symptoms, history of the present illness, and any treatments provided.

Specialty Considerations

Emergency medicine specialists should ensure that all relevant details of the incident are captured.

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 facilitating better public health tracking and injury prevention efforts.

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 facilitating better public health tracking and injury prevention efforts.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy and facilitating better public health tracking and injury prevention efforts.

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 code V41.4?

You should document the circumstances of the incident, including the type of vehicle involved, the actions of the patient at the time of the collision, and the nature of the injuries sustained.