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ICD-10 Guide
ICD-10 CodesV10.4

V10.4

Billable

Pedal cycle driver injured in collision with pedestrian or animal in traffic accident

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

Code Description

ICD-10 V10.4 is a billable code used to indicate a diagnosis of pedal cycle driver injured in collision with pedestrian or animal in traffic accident.

Key Diagnostic Point:

The ICD-10 code V10.4 is used to classify injuries sustained by a pedal cycle driver involved in a collision with a pedestrian or an animal during a traffic accident. This code is crucial for capturing the external causes of morbidity and mortality related to cycling accidents, which can lead to significant injuries ranging from minor abrasions to severe trauma. Accurate coding is essential for public health data collection, injury prevention strategies, and resource allocation. In clinical settings, documentation should include details about the circumstances of the accident, the type of injuries sustained, and any contributing factors such as road conditions or visibility. This code is particularly relevant in urban areas where cycling is common, and it highlights the need for safety measures to protect cyclists from traffic-related injuries.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident circumstances
  • Differentiation between types of collisions (e.g., pedestrian vs. animal)
  • Potential for multiple injuries requiring additional codes
  • Variability in local traffic laws affecting coding

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Failure to capture all injuries sustained
  • Misclassification of the type of collision
  • Inconsistent coding practices among providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, patient presentation, and any immediate interventions performed.

Common Clinical Scenarios

Cyclist presenting with fractures, lacerations, or head injuries after a collision.

Billing Considerations

Consideration of helmet use and other protective gear in documentation.

Trauma Surgery

Documentation Requirements

Detailed operative reports and injury assessments are necessary, including descriptions of injuries and surgical interventions.

Common Clinical Scenarios

Trauma cases involving complex fractures or internal injuries from a cycling accident.

Billing Considerations

Accurate coding of associated injuries and potential complications.

Coding Guidelines

Inclusion Criteria

Use V10.4 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to document the circumstances surrounding the injury, including the location, activity, and any contributing factors

Exclusion Criteria

Do NOT use V10.4 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a cyclist presents with serious injuries after a collision.

Documentation Requirements

Detailed history, examination findings, and treatment plan.

Specialty Considerations

Emergency medicine providers must ensure comprehensive documentation to support the level of service.

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 responses to cycling accidents.

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 responses to cycling accidents.

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 responses to cycling accidents.

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 be documented to support the use of V10.4?

Documentation should include details about the accident, such as the location, time, and circumstances of the collision, as well as the type and severity of injuries sustained by the cyclist.