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ICD-10 Guide
ICD-10 CodesV41.6

V41.6

Billable

Car passenger injured in collision with pedal cycle in traffic accident

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

Code Description

ICD-10 V41.6 is a billable code used to indicate a diagnosis of car passenger injured in collision with pedal cycle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V41.6 is used to classify injuries sustained by a car passenger involved in a traffic accident where a pedal cycle (bicycle) is also involved. This code is essential for capturing the external cause of morbidity and mortality related to traffic incidents, particularly those involving non-motorized vehicles. In clinical practice, this code is relevant when a passenger in a car suffers injuries due to a collision with a cyclist, which may include a range of injuries from minor abrasions to severe trauma. Accurate coding is crucial for public health data collection, insurance claims, and understanding the epidemiology of traffic-related injuries. Documentation should include details about the circumstances of the accident, the type of injuries sustained, and any relevant environmental factors that may have contributed to the incident. This code helps in identifying trends in traffic safety and the effectiveness of interventions aimed at reducing such accidents.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident circumstances
  • Differentiation between types of injuries sustained
  • Potential for multiple external cause codes to be applicable
  • Variability in reporting standards across different healthcare settings

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, including the type of vehicles involved and the circumstances leading to the collision.

Common Clinical Scenarios

Patients presenting with injuries from a traffic accident involving a bicycle, including fractures, lacerations, and concussions.

Billing Considerations

Consideration of the patient's position in the vehicle and the impact of the collision on injury patterns.

Trauma Surgery

Documentation Requirements

Trauma surgeons need detailed accounts of the injury mechanism, including speed of vehicles and point of impact.

Common Clinical Scenarios

Trauma cases involving significant injuries from a car-bicycle collision, requiring surgical intervention.

Billing Considerations

Understanding the potential for secondary injuries and the need for comprehensive trauma assessments.

Coding Guidelines

Inclusion Criteria

Use V41.6 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the corresponding injury codes
  • It is essential to report the external cause code in the secondary position to the injury code to provide context for the injury

Exclusion Criteria

Do NOT use V41.6 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used when a passenger presents to the emergency department after a collision with a bicycle.

Documentation Requirements

Documentation must include the nature of the injuries and the circumstances of the accident.

Specialty Considerations

Emergency medicine specialists should ensure thorough documentation to support the level of service billed.

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 enhancing the ability to track and analyze traffic-related injuries.

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 enhancing the ability to track and analyze traffic-related injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy and enhancing the ability to track and analyze traffic-related injuries.

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 code V41.6?

Documentation should include details about the accident, such as the type of vehicles involved, the circumstances leading to the collision, the nature of the injuries sustained, and any relevant environmental factors.