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ICD-10 Guide
ICD-10 CodesV01.90

V01.90

Billable

Pedestrian on foot injured in collision with pedal cycle, unspecified whether traffic or nontraffic accident

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

Code Description

ICD-10 V01.90 is a billable code used to indicate a diagnosis of pedestrian on foot injured in collision with pedal cycle, unspecified whether traffic or nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V01.90 is used to classify injuries sustained by pedestrians who are struck by bicycles, without specifying whether the incident occurred in a traffic or nontraffic context. This code is crucial for capturing data on pedestrian injuries, which can inform public health initiatives and traffic safety measures. Clinical scenarios may include a pedestrian walking on a sidewalk who is hit by a cyclist riding on the same path or in a park. Accurate coding is essential for understanding the epidemiology of such injuries, which can help in developing targeted interventions to reduce pedestrian-cyclist collisions. Documentation should include details about the circumstances of the incident, the location, and the severity of the injuries sustained to ensure appropriate coding and analysis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in determining whether the incident was traffic or nontraffic-related.
  • Need for detailed documentation to support the external cause of injury.
  • Variability in local laws regarding pedestrian and cyclist interactions.
  • Potential for misclassification if the circumstances are not clearly documented.

Audit Risk Factors

  • Inadequate documentation of the incident details.
  • Misclassification of the incident type (traffic vs. nontraffic).
  • Failure to capture the severity of injuries related to the incident.
  • Inconsistent coding practices among different coders.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include a detailed account of the incident, including the location, time, and circumstances of the collision.

Common Clinical Scenarios

Patients presenting with lacerations, fractures, or contusions after being struck by a bicycle.

Billing Considerations

Emergency physicians should ensure that the mechanism of injury is clearly documented to support accurate coding.

Trauma Surgery

Documentation Requirements

Trauma documentation must include a comprehensive assessment of injuries, mechanism of injury, and any surgical interventions performed.

Common Clinical Scenarios

Patients requiring surgical intervention for severe injuries sustained from a bicycle collision.

Billing Considerations

Trauma surgeons should be aware of the importance of specifying the external cause to ensure proper coding and billing.

Coding Guidelines

Inclusion Criteria

Use V01.90 When
  • According to the ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to report the external cause code to provide context for the injury and to capture data for injury prevention efforts

Exclusion Criteria

Do NOT use V01.90 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 bicycle collision.

Documentation Requirements

Documentation must support the level of service provided, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine specialists should ensure that the external cause is clearly documented to support 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 initiatives. V01.90 provides a means to capture pedestrian injuries in a nuanced manner, aiding in the development of targeted safety measures.

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. V01.90 provides a means to capture pedestrian injuries in a nuanced manner, aiding in the development of targeted safety measures.

Reimbursement & Billing Impact

reimbursement and for tracking injury trends.

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 V01.90 instead of a more specific code?

Use V01.90 when the details of the incident do not specify whether it was a traffic or nontraffic accident, and when no other more specific external cause code applies.