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v1.0.0
ICD-10 Guide
ICD-10 CodesV61.1

V61.1

Billable

Passenger in heavy transport vehicle injured in collision with pedal cycle in nontraffic accident

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

Code Description

ICD-10 V61.1 is a billable code used to indicate a diagnosis of passenger in heavy transport vehicle injured in collision with pedal cycle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V61.1 is used to classify injuries sustained by a passenger in a heavy transport vehicle involved in a collision with a pedal cycle during a nontraffic accident. This scenario typically occurs in settings where heavy vehicles, such as trucks or buses, are operating in areas not designated as public roadways, such as construction sites, parking lots, or private property. The injuries can range from minor bruises and lacerations to more severe trauma, including fractures or head injuries, depending on the circumstances of the collision. Accurate coding of this incident is crucial for understanding the epidemiology of such injuries, facilitating appropriate treatment, and ensuring proper reimbursement for healthcare services rendered. Documentation should include details about the nature of the accident, the type of heavy transport vehicle involved, and the specific injuries sustained by the passenger.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact nature of the accident (nontraffic vs. traffic)
  • Identifying the type of heavy transport vehicle involved
  • Documenting the specific injuries sustained
  • Differentiating between similar external cause codes

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Misclassification of the accident type (traffic vs. nontraffic)
  • Failure to specify the type of heavy transport vehicle
  • Inaccurate linkage to primary diagnosis codes

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, the type of vehicle involved, and the specific injuries sustained. Time of injury and patient condition upon arrival are also critical.

Common Clinical Scenarios

Patients presenting with injuries from collisions in parking lots or construction sites, where heavy vehicles are present.

Billing Considerations

Emergency physicians should ensure that the external cause code is linked to the primary diagnosis for accurate billing and epidemiological tracking.

Trauma Surgery

Documentation Requirements

Trauma surgeons need detailed accounts of the injury mechanism, including the type of heavy vehicle and the nature of injuries for surgical intervention.

Common Clinical Scenarios

Trauma cases involving significant injuries from collisions with heavy vehicles, requiring surgical evaluation and intervention.

Billing Considerations

Accurate coding is essential for trauma registries and for understanding injury patterns in heavy vehicle accidents.

Coding Guidelines

Inclusion Criteria

Use V61.1 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is important to document the circumstances of the injury, including the type of vehicle and the environment in which the accident occurred

Exclusion Criteria

Do NOT use V61.1 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 nontraffic accident involving a heavy transport vehicle.

Documentation Requirements

Document the mechanism of injury, vital signs, and any immediate interventions performed.

Specialty Considerations

Emergency medicine specialists should ensure that the external cause code is accurately linked to the visit.

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 collection and analysis for public health and safety initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data collection and analysis for public health and safety initiatives.

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 use code V61.1?

Documentation should include the type of heavy transport vehicle involved, the circumstances of the collision, and the specific injuries sustained by the passenger.