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ICD-10 Guide
ICD-10 CodesChapter 20: External causes of morbidityV11

V11

Non-billable

Pedal cycle rider injured in collision with other pedal cycle

Chapter 20:External causes of morbidity

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 V11 is a used to indicate a diagnosis of pedal cycle rider injured in collision with other pedal cycle.

Key Diagnostic Point:

The ICD-10 Level 1 Category code V11 pertains to injuries sustained by pedal cycle riders involved in collisions with other pedal cyclists. This category encompasses a range of injuries, from minor abrasions and contusions to more severe trauma such as fractures and head injuries. It is essential for healthcare providers to accurately document these incidents, as they can significantly impact treatment plans and outcomes. Understanding the nuances of this category is crucial for effective coding and billing practices, especially in emergency and trauma care settings where timely intervention is critical.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential injuries
  • Need for detailed documentation
  • Variability in collision circumstances

Audit Risk Factors

  • Inadequate documentation of injury specifics
  • Misclassification of injury severity
  • Failure to capture all relevant injuries

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Orthopedics

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

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Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical and administrative impact of the V11 code category is significant, as it directly relates to the management of injuries sustained in pedal cycling accidents. Accurate coding can influence quality measures, such as tracking injury rates and outcomes in the cycling population. Furthermore, as cycling continues to grow in popularity, understanding the epidemiology of these injuries can help inform public health initiatives aimed at improving safety and reducing accidents. Healthcare providers must stay informed about trends in cycling injuries to effectively address the needs of this patient population.

ICD-9 vs ICD-10

The clinical and administrative impact of the V11 code category is significant, as it directly relates to the management of injuries sustained in pedal cycling accidents. Accurate coding can influence quality measures, such as tracking injury rates and outcomes in the cycling population. Furthermore, as cycling continues to grow in popularity, understanding the epidemiology of these injuries can help inform public health initiatives aimed at improving safety and reducing accidents. Healthcare providers must stay informed about trends in cycling injuries to effectively address the needs of this patient population.

Reimbursement & Billing Impact

reimbursement, as payers often scrutinize claims for accuracy and completeness, particularly in cases involving trauma. Additionally, understanding the nuances of billing for emergency services versus follow-up care can impact overall reimbursement rates.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for V11

Coding & Billing References

  • •
    Official ICD-10 Guidelines for V11

Frequently Asked Questions

What conditions are included in V11?

V11 includes conditions such as fractures, lacerations, contusions, and other injuries resulting from collisions between pedal cyclists. It is important to specify the nature and severity of the injuries for accurate coding.

When should I use V11 codes?

V11 codes should be used when documenting injuries sustained by a pedal cyclist in a collision with another pedal cyclist. This includes both acute injuries and any related complications that arise from the incident.

What documentation is required for V11?

Documentation for V11 should include a detailed account of the incident, the nature of the injuries sustained, any treatments provided, and follow-up care plans. Accurate descriptions of the collision circumstances are also essential.