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v1.0.0
ICD-10 Guide
ICD-10 CodesV61.9

V61.9

Billable

Unspecified occupant of heavy transport vehicle injured in collision with pedal cycle in traffic accident

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

Code Description

ICD-10 V61.9 is a billable code used to indicate a diagnosis of unspecified occupant of heavy transport vehicle injured in collision with pedal cycle in traffic accident.

Key Diagnostic Point:

This code is used to classify injuries sustained by an unspecified occupant of a heavy transport vehicle involved in a collision with a pedal cycle during a traffic accident. Such incidents can lead to a variety of injuries, ranging from minor to severe, depending on the speed of the vehicles involved, the point of impact, and the safety measures in place (e.g., seat belts, airbags). The code is particularly relevant in urban settings where heavy transport vehicles frequently share the road with cyclists. Accurate coding is essential for understanding the epidemiology of traffic-related injuries, which can inform public health initiatives aimed at improving road safety and reducing accidents. Documentation should include details about the accident, the nature of the injuries, and any contributing factors such as weather conditions or road hazards.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in the term 'unspecified occupant' which may lead to misclassification.
  • Variability in documentation quality from different healthcare providers.
  • Need for precise details about the accident context to ensure accurate coding.
  • Potential overlap with other external cause codes that may apply.

Audit Risk Factors

  • Inadequate documentation of the accident details.
  • Failure to specify the type of injuries sustained.
  • Misuse of unspecified codes leading to potential denials.
  • Inconsistent coding practices among different coders.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed account of the accident, including time, location, and mechanism of injury.

Common Clinical Scenarios

Patients presenting with trauma after a collision with a bicycle, requiring immediate assessment and treatment.

Billing Considerations

Ensure that all relevant details are captured in the medical record to support the use of this code.

Trauma Surgery

Documentation Requirements

Comprehensive trauma assessment and surgical notes detailing the injuries sustained.

Common Clinical Scenarios

Surgical intervention for severe injuries resulting from a traffic accident involving a heavy vehicle and a cyclist.

Billing Considerations

Accurate coding is crucial for trauma registries and quality improvement initiatives.

Coding Guidelines

Inclusion Criteria

Use V61.9 When
  • Follow the ICD
  • CM Official Guidelines for Coding and Reporting, particularly Section I
  • 19 for 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 V61.9 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 after a traffic accident.

Documentation Requirements

Document the nature of the visit, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine providers should ensure that all relevant details of the accident 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 collection and analysis for traffic-related incidents. This code provides a clearer picture of the circumstances surrounding injuries in traffic 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 traffic-related incidents. This code provides a clearer picture of the circumstances surrounding injuries in traffic accidents involving heavy vehicles.

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 traffic-related incidents. This code provides a clearer picture of the circumstances surrounding injuries in traffic accidents involving heavy vehicles.

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 I document to support the use of V61.9?

Document the specifics of the accident, including the type of vehicles involved, the circumstances leading to the collision, and the nature of the injuries sustained by the occupant of the heavy transport vehicle.