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v1.0.0
ICD-10 Guide
ICD-10 CodesV61.4

V61.4

Billable

Person boarding or alighting a heavy transport vehicle injured in collision with pedal cycle while boarding or alighting

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

Code Description

ICD-10 V61.4 is a billable code used to indicate a diagnosis of person boarding or alighting a heavy transport vehicle injured in collision with pedal cycle while boarding or alighting.

Key Diagnostic Point:

The ICD-10 code V61.4 is used to classify injuries sustained by individuals who are boarding or alighting from heavy transport vehicles, such as buses or trucks, when they are involved in a collision with a pedal cycle. This code captures the external cause of morbidity and mortality related to such incidents, which often occur in urban settings where heavy transport vehicles and cyclists share roadways. 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 scenario is crucial for understanding the epidemiology of transport-related injuries and for implementing public health interventions aimed at reducing such incidents. Documentation should include details about the circumstances of the injury, 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 transport vehicles
  • Understanding of external cause coding guidelines
  • Potential for multiple injuries requiring co-coding

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 department notes should clearly describe the mechanism of injury, including the type of vehicle and cyclist involved, as well as the patient's injuries.

Common Clinical Scenarios

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

Billing Considerations

Ensure that the mechanism of injury is documented in detail to support the use of V61.4.

Trauma Surgery

Documentation Requirements

Trauma assessments must include a thorough history of the incident, including the speed of the vehicle and the impact on the patient.

Common Clinical Scenarios

Trauma cases involving significant injuries from collisions with heavy transport vehicles.

Billing Considerations

Consider the need for additional codes to capture specific injuries sustained during the incident.

Coding Guidelines

Inclusion Criteria

Use V61.4 When
  • Follow the ICD
  • CM Official Guidelines for Coding and Reporting, particularly those related to external causes of morbidity
  • Ensure that the code is used in conjunction with appropriate injury codes to provide a complete picture of the patient's condition

Exclusion Criteria

Do NOT use V61.4 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

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

Documentation Requirements

Document the mechanism of injury, vital signs, and any treatments provided.

Specialty Considerations

Emergency medicine specialists should ensure that the visit is coded accurately based on the complexity of the case.

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 aimed at reducing transport-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 collection and analysis for public health initiatives aimed at reducing transport-related injuries.

Reimbursement & Billing Impact

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 aimed at reducing transport-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 types of injuries are typically associated with V61.4?

Injuries can range from minor abrasions to severe trauma, including fractures and head injuries, depending on the circumstances of the collision.

How can I ensure accurate coding for V61.4?

Ensure that the medical record contains detailed documentation of the incident, including the type of vehicle involved and the nature of the injuries sustained.