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v1.0.0
ICD-10 Guide
ICD-10 CodesV12.2

V12.2

Billable

Unspecified pedal cyclist 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 V12.2 is a billable code used to indicate a diagnosis of unspecified pedal cyclist 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 pedal cyclists involved in collisions with two- or three-wheeled motor vehicles that occur outside of traditional traffic scenarios. Such incidents may take place in private property, parking lots, or other non-public roadways. The injuries can range from minor abrasions to severe trauma, including fractures or head injuries. Accurate coding is essential for tracking injury patterns, understanding public health implications, and facilitating appropriate treatment. Documentation should include details about the circumstances of the accident, the type of vehicle involved, and the nature of the injuries sustained. This code is particularly relevant in urban areas where cycling is common and where interactions with motor vehicles can lead to significant injuries, even in non-traffic settings.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in the term 'nontraffic accident' which may require clarification.
  • Variability in documentation quality regarding the specifics of the accident.
  • Potential overlap with other external cause codes that may lead to confusion.
  • Need for precise details about the type of vehicle involved and the circumstances of the accident.

Audit Risk Factors

  • Inadequate documentation of the accident circumstances.
  • Failure to specify the type of motor vehicle involved.
  • Misclassification of the accident type (traffic vs. nontraffic).
  • Inconsistent coding practices across different providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, including the location and circumstances of the accident, as well as the type of vehicle involved.

Common Clinical Scenarios

Pedal cyclists presenting with injuries after being struck by a motorcycle or scooter in a parking lot.

Billing Considerations

Emergency providers should ensure that all relevant details are captured to support accurate coding and billing.

Trauma Surgery

Documentation Requirements

Trauma surgeons need detailed accounts of the injury mechanism, including the impact force and injury patterns observed.

Common Clinical Scenarios

Trauma cases involving cyclists with fractures or head injuries from collisions with motorized scooters.

Billing Considerations

Trauma documentation should include specifics about the cyclist's protective gear and the nature of the collision.

Coding Guidelines

Inclusion Criteria

Use V12.2 When
  • Coders should refer to the official ICD
  • CM guidelines for external cause codes, ensuring that the code is used in conjunction with the appropriate injury codes
  • It is crucial to document the circumstances of the accident clearly to justify the use of V12

Exclusion Criteria

Do NOT use V12.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

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

Documentation Requirements

Document the nature of the injuries, the mechanism of injury, and any treatments provided.

Specialty Considerations

Emergency medicine providers should ensure that all relevant details are captured to support accurate coding and billing.

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 accidents involving cyclists. This specificity aids in better tracking and understanding of injury patterns, which can inform public health initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including nontraffic accidents involving cyclists. This specificity aids in better tracking and understanding of injury patterns, which can inform public health initiatives.

Reimbursement & Billing Impact

reimbursement.

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 V12.2?

You should document the specifics of the accident, including the location, type of vehicle involved, and the nature of the injuries sustained. Clear descriptions help justify the use of this code.