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v1.0.0
ICD-10 Guide
ICD-10 CodesV10.1

V10.1

Billable

Pedal cycle passenger injured in collision with pedestrian or animal in nontraffic accident

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

Code Description

ICD-10 V10.1 is a billable code used to indicate a diagnosis of pedal cycle passenger injured in collision with pedestrian or animal in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V10.1 is used to classify injuries sustained by a passenger on a pedal cycle who is involved in a collision with a pedestrian or an animal in a nontraffic setting. This code is particularly relevant in scenarios where the incident occurs in areas such as parks, private properties, or other non-roadway environments. The injuries can range from minor abrasions and contusions to more severe trauma, including fractures or head injuries, depending on the nature of the collision. Accurate coding is essential for tracking injury patterns, understanding public health implications, and ensuring appropriate resource allocation for injury prevention programs. Documentation should clearly indicate the circumstances of the incident, including the location and the nature of the collision, to support the use of this specific external cause code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact nature of the collision (pedestrian vs. animal)
  • Differentiating between traffic and nontraffic accidents
  • Documenting the location of the incident accurately
  • Identifying the role of the passenger versus the cyclist

Audit Risk Factors

  • Inadequate documentation of the incident location
  • Failure to specify whether the collision involved a pedestrian or an animal
  • Misclassification of the accident type (traffic vs. nontraffic)
  • Insufficient detail on the nature of injuries sustained

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, location, and any relevant patient history to support the use of V10.1.

Common Clinical Scenarios

Patients presenting with lacerations, fractures, or concussions after a collision while riding as a passenger on a pedal cycle.

Billing Considerations

Emergency providers should ensure that all details of the incident are captured in the medical record to avoid coding errors.

Trauma Surgery

Documentation Requirements

Trauma surgeons need to document the specifics of the injury, including the type of collision and the resulting injuries, to justify the use of this code.

Common Clinical Scenarios

Trauma cases involving significant injuries from nontraffic collisions, requiring surgical intervention.

Billing Considerations

Trauma documentation should include the mechanism of injury and any pre-existing conditions that may affect recovery.

Coding Guidelines

Inclusion Criteria

Use V10.1 When
  • According to ICD
  • CM 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 comply with coding regulations

Exclusion Criteria

Do NOT use V10.1 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 nontraffic bicycle accident.

Documentation Requirements

Document the nature of the injuries and the circumstances of the accident.

Specialty Considerations

Emergency medicine providers should ensure that the external cause code is 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 accuracy and facilitating better public health tracking and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy and facilitating better public health tracking and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy and facilitating better public health tracking and resource allocation.

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 V10.1?

Use V10.1 when documenting injuries sustained by a passenger on a pedal cycle involved in a collision with a pedestrian or animal in a nontraffic setting.