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v1.0.0
ICD-10 Guide
ICD-10 CodesV12.1

V12.1

Billable

Pedal cycle passenger injured in collision with two- or three-wheeled motor vehicle in nontraffic accident

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

Code Description

ICD-10 V12.1 is a billable code used to indicate a diagnosis of pedal cycle passenger injured in collision with two- or three-wheeled motor vehicle in nontraffic accident.

Key Diagnostic Point:

This code is used to classify injuries sustained by a passenger on a pedal cycle involved in a collision with a two- or three-wheeled motor vehicle, specifically in a nontraffic accident context. Nontraffic accidents may occur in various settings, such as private property or during recreational activities. The injuries can range from minor abrasions to severe trauma, depending on the circumstances 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 must clearly indicate the nature of the accident, the role of the patient as a passenger, and the type of vehicle involved to support the use of this code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the context of the accident (nontraffic vs. traffic)
  • Clarifying the role of the patient (passenger vs. cyclist)
  • Identifying the type of motor vehicle involved
  • Documenting the specifics of the injury sustained

Audit Risk Factors

  • Inadequate documentation of the accident's context
  • Misclassification of the accident type (traffic vs. nontraffic)
  • Failure to specify the passenger role
  • Inaccurate coding of the type of vehicle involved

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must include details of the accident, patient role, and injury specifics.

Common Clinical Scenarios

Patients presenting with injuries from nontraffic collisions while riding as passengers on bicycles.

Billing Considerations

Ensure that the mechanism of injury is clearly documented to support the use of V12.1.

Trauma Surgery

Documentation Requirements

Trauma registries require comprehensive details about the incident, including the mechanism of injury and patient demographics.

Common Clinical Scenarios

Trauma cases involving significant injuries from collisions with motor vehicles.

Billing Considerations

Accurate coding is crucial for trauma statistics and injury prevention initiatives.

Coding Guidelines

Inclusion Criteria

Use V12.1 When
  • Follow the ICD
  • CM coding guidelines, ensuring that the external cause code is reported in conjunction with the appropriate injury diagnosis codes
  • The external cause code should reflect the specific circumstances of the injury

Exclusion Criteria

Do NOT use V12.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a patient presents to the emergency department with injuries from a nontraffic accident.

Documentation Requirements

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

Specialty Considerations

Emergency medicine providers should ensure that the mechanism of injury is clearly articulated.

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 injury prevention efforts.

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 injury prevention efforts.

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 injury prevention efforts.

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 is the importance of accurately coding V12.1?

Accurate coding of V12.1 is crucial for understanding injury patterns, guiding public health initiatives, and ensuring appropriate reimbursement for medical services.