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v1.0.0
ICD-10 Guide
ICD-10 CodesV61.2

V61.2

Billable

Person on outside of 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 V61.2 is a billable code used to indicate a diagnosis of person on outside of heavy transport vehicle injured in collision with pedal cycle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V61.2 is used to classify injuries sustained by individuals who are outside of a heavy transport vehicle, such as a truck or bus, during a collision with a pedal cycle (bicycle) in a nontraffic accident scenario. This code is particularly relevant in cases where the incident occurs in a private area, such as a parking lot or private property, rather than on a public roadway. The injuries may vary from minor abrasions to severe trauma, depending on the circumstances of the collision. Accurate coding of this scenario is crucial for understanding the epidemiology of such accidents, facilitating appropriate treatment, and ensuring proper reimbursement for healthcare services rendered. Documentation should clearly indicate the nature of the accident, the location, and the specifics of the injuries sustained to support the use of this code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact nature of the accident (nontraffic vs. traffic)
  • Identifying the location of the incident (private property vs. public road)
  • Differentiating between types of injuries sustained
  • Ensuring accurate documentation of the circumstances surrounding the collision

Audit Risk Factors

  • Inadequate documentation of the accident's circumstances
  • Misclassification of the accident type (traffic vs. nontraffic)
  • Failure to specify the location of the incident
  • Inaccurate coding of the injury type or severity

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with fractures, lacerations, or contusions after being struck by a heavy vehicle while cycling.

Billing Considerations

Consideration of potential underlying conditions that may complicate treatment or recovery.

Trauma Surgery

Documentation Requirements

Detailed trauma assessments, including injury severity scores and mechanism of injury, are essential.

Common Clinical Scenarios

Severe injuries requiring surgical intervention, such as internal bleeding or fractures.

Billing Considerations

Documentation must reflect the urgency of the situation and the need for immediate surgical care.

Coding Guidelines

Inclusion Criteria

Use V61.2 When
  • According to the ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is important 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 V61.2 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 with significant injuries from a collision.

Documentation Requirements

Documentation must support the level of service provided, including details of the injury and treatment plan.

Specialty Considerations

Emergency medicine specialists should ensure that all relevant details are captured to justify the visit level.

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 initiatives. This specificity aids in understanding the epidemiology of nontraffic accidents involving heavy vehicles.

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 initiatives. This specificity aids in understanding the epidemiology of nontraffic accidents involving heavy vehicles.

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

When should I use V61.2 instead of V61.1?

Use V61.2 when the injury occurs in a nontraffic setting, such as a parking lot or private property. V61.1 should be used for traffic-related incidents.