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ICD-10 Guide
ICD-10 CodesV11.9

V11.9

Billable

Unspecified pedal cyclist injured in collision with other pedal cycle in traffic accident

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

Code Description

ICD-10 V11.9 is a billable code used to indicate a diagnosis of unspecified pedal cyclist injured in collision with other pedal cycle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V11.9 is used to classify injuries sustained by a pedal cyclist involved in a collision with another pedal cyclist during a traffic accident. This code is particularly relevant in urban settings where cycling is a common mode of transportation. The injuries can range from minor abrasions and contusions to severe trauma, including fractures and head injuries. Accurate coding is essential for tracking the incidence of cycling accidents, which can inform public health initiatives aimed at improving cyclist safety. Documentation should include details about the circumstances of the accident, the type of injuries sustained, and any relevant environmental factors. This code is part of a broader category of external cause codes that help in understanding the context of injuries and can aid in the development of preventive measures.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in injury severity and types
  • Need for detailed documentation of accident circumstances
  • Potential for multiple injuries requiring additional codes
  • Differentiation from other traffic-related injuries

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Failure to specify the nature of injuries
  • Misclassification of the type of cyclist involved
  • Inconsistent coding practices across providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, including the type of collision, the speed of the cyclists, and any protective gear worn.

Common Clinical Scenarios

A cyclist presenting with a head injury after colliding with another cyclist; documentation should include helmet use and loss of consciousness.

Billing Considerations

Consideration of pre-existing conditions that may affect recovery, such as previous head injuries.

Trauma Surgery

Documentation Requirements

Trauma surgeons need detailed accounts of the injury mechanism, including the impact force and any immediate interventions performed.

Common Clinical Scenarios

A cyclist with multiple fractures after a collision; documentation should include imaging results and surgical interventions.

Billing Considerations

Assessment of potential long-term complications from injuries sustained in the collision.

Coding Guidelines

Inclusion Criteria

Use V11.9 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to capture the specific circumstances of the injury, including the location and activity at the time of the accident

Exclusion Criteria

Do NOT use V11.9 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 severe injuries requiring immediate attention.

Documentation Requirements

Detailed account of the patient's condition, treatment provided, and any consultations.

Specialty Considerations

Emergency medicine specialists should ensure all aspects of the injury are documented.

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 aimed at reducing 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 collection and analysis for public health initiatives aimed at reducing cycling accidents.

Reimbursement & Billing Impact

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 aimed at reducing 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 V11.9?

Documentation should include details about the accident, such as the location, speed of the cyclists, type of injuries sustained, and any protective gear worn. This information is crucial for accurate coding and for understanding the context of the injuries.