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v1.0.0
ICD-10 Guide
ICD-10 CodesV11.0

V11.0

Billable

Pedal cycle driver injured in collision with other pedal cycle in nontraffic accident

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

Code Description

ICD-10 V11.0 is a billable code used to indicate a diagnosis of pedal cycle driver injured in collision with other pedal cycle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V11.0 is used to classify injuries sustained by a pedal cycle driver involved in a collision with another pedal cycle in a nontraffic accident. This scenario typically occurs in environments such as parks, bike paths, or residential areas where cyclists may collide without being on a public roadway. The injuries can range from minor abrasions and contusions to more severe injuries such as fractures or concussions, depending on the nature of the collision. Accurate coding of this incident is crucial for understanding the epidemiology of cycling injuries, guiding public health interventions, and informing safety measures for cyclists. Documentation should include details about the circumstances of the accident, the type of injuries sustained, and any relevant environmental factors that may have contributed to the incident.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact nature of the collision (nontraffic vs. traffic)
  • Differentiating between types of injuries sustained
  • Documenting the specific circumstances of the accident
  • Understanding the distinction between various external cause codes

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Misclassification of the accident type (traffic vs. nontraffic)
  • Failure to specify the nature of injuries
  • Linking to incorrect primary diagnosis codes

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, including details of the collision and any immediate treatment provided.

Common Clinical Scenarios

Patients presenting with lacerations, fractures, or head injuries following a collision with another cyclist.

Billing Considerations

Consideration of potential underlying conditions that may affect recovery, such as age or pre-existing injuries.

Trauma Surgery

Documentation Requirements

Trauma documentation should include a detailed account of the injury mechanism, injury severity, and any surgical interventions performed.

Common Clinical Scenarios

Trauma cases involving significant injuries requiring surgical intervention, such as fractures or internal injuries.

Billing Considerations

Accurate coding is essential for trauma registries and for tracking injury patterns in the population.

Coding Guidelines

Inclusion Criteria

Use V11.0 When
  • Follow the ICD
  • CM coding guidelines for external causes of morbidity, ensuring that the code is used in conjunction with the appropriate injury codes
  • Document the circumstances of the accident clearly to support the use of V11

Exclusion Criteria

Do NOT use V11.0 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 with injuries from a pedal cycle collision.

Documentation Requirements

Document the nature of the visit, including the mechanism of injury and treatment provided.

Specialty Considerations

Emergency medicine specialists should ensure that the visit level reflects the complexity of the case.

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, including nontraffic pedal cycle accidents, which aids in better tracking and analysis of injury patterns.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including nontraffic pedal cycle accidents, which aids in better tracking and analysis of injury patterns.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including nontraffic pedal cycle accidents, which aids in better tracking and analysis of injury patterns.

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 V11.0?

Document the specifics of the collision, including the environment, the nature of the injuries sustained, and any relevant patient history that may impact treatment.