ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesV12.5

V12.5

Billable

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

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

Code Description

ICD-10 V12.5 is a billable code used to indicate a diagnosis of pedal cycle passenger injured in collision with two- or three-wheeled motor vehicle in traffic 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 during a traffic accident. Such incidents often result in a range of injuries, from minor abrasions to severe trauma, including fractures and head injuries. The context of the accident is crucial for accurate coding, as it helps to identify the circumstances surrounding the injury, which can influence treatment and public health strategies. Documentation should include details about the nature of the collision, the type of motor vehicle involved, and the specific injuries sustained. This code is essential for tracking morbidity and mortality related to traffic accidents involving cyclists, which is vital for public health initiatives aimed at improving road safety and reducing injury rates.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident circumstances
  • Differentiation between types of motor vehicles involved
  • Potential for multiple injuries requiring additional codes
  • Variability in local traffic laws affecting coding

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Misclassification of the type of motor vehicle involved
  • Failure to capture all injuries sustained
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly outline the mechanism of injury, including details of the collision and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with trauma after being struck by a motorcycle or scooter while riding a bicycle.

Billing Considerations

Ensure that all injuries are documented and coded, including any secondary injuries that may not be immediately apparent.

Trauma Surgery

Documentation Requirements

Trauma assessments must include a thorough evaluation of all injuries, with specific attention to the mechanism of injury and any surgical interventions required.

Common Clinical Scenarios

Patients requiring surgical intervention for fractures or internal injuries sustained in a bicycle-motor vehicle collision.

Billing Considerations

Accurate coding of all injuries is critical, as it impacts treatment planning and potential legal considerations.

Coding Guidelines

Inclusion Criteria

Use V12.5 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is essential to report the external cause code in the secondary position to the injury code to provide context for the injury

Exclusion Criteria

Do NOT use V12.5 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 significant injuries from a bicycle-motor vehicle collision.

Documentation Requirements

Documentation must support the level of service, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine specialists should ensure that all relevant injuries and the mechanism of 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 traffic-related injuries.

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 traffic-related injuries.

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 traffic-related injuries.

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 code V12.5?

Documentation should include details of the accident, such as the type of motor vehicle involved, the circumstances leading to the collision, and a thorough account of the injuries sustained by the pedal cycle passenger.