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v1.0.0
ICD-10 Guide
ICD-10 CodesV51.4

V51.4

Billable

Person boarding or alighting a pick-up truck or van injured in collision with pedal cycle

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

Code Description

ICD-10 V51.4 is a billable code used to indicate a diagnosis of person boarding or alighting a pick-up truck or van injured in collision with pedal cycle.

Key Diagnostic Point:

The ICD-10 code V51.4 is used to classify injuries sustained by individuals who are boarding or alighting from a pick-up truck or van and are subsequently involved in a collision with a pedal cycle. This scenario typically occurs in urban environments where pedestrian and vehicular traffic intersect. The injuries can range from minor abrasions to severe trauma, depending on the speed of the vehicle and the circumstances of the collision. Accurate coding of this incident is crucial for public health data collection, as it helps identify trends in traffic-related injuries and informs preventive measures. Documentation should include details about the circumstances of the incident, the type of vehicle involved, and the nature of the injuries sustained. This code is particularly relevant for emergency departments and trauma centers that treat victims of such accidents.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the incident circumstances
  • Differentiation between types of vehicles involved
  • Understanding of pedestrian and cyclist traffic laws
  • Potential for multiple injuries requiring additional codes

Audit Risk Factors

  • Inadequate documentation of the incident details
  • Misclassification of the type of vehicle involved
  • Failure to capture all injuries sustained
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, patient demographics, and any pre-existing conditions that may affect treatment.

Common Clinical Scenarios

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

Billing Considerations

Consideration of the patient's position relative to the vehicle and the cyclist at the time of the incident.

Trauma Surgery

Documentation Requirements

Trauma documentation should include detailed descriptions of injuries, surgical interventions, and follow-up care plans.

Common Clinical Scenarios

Trauma cases involving significant injuries such as pelvic fractures or head trauma from collisions.

Billing Considerations

Assessment of injury patterns that may indicate the need for surgical intervention or intensive care.

Coding Guidelines

Inclusion Criteria

Use V51.4 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to capture the specific circumstances of the injury, including the type of vehicle and the activity of the injured person

Exclusion Criteria

Do NOT use V51.4 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

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

Documentation Requirements

Documentation must include the nature of the injuries, treatment provided, and any follow-up care.

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 enabling better tracking of injury trends related to vehicle collisions.

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 trends related to vehicle collisions.

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 trends related to vehicle collisions.

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 V51.4?

Documentation should include the details of the incident, such as the type of vehicle involved, the actions of the injured person, and the nature of the injuries sustained.