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v1.0.0
ICD-10 Guide
ICD-10 CodesV12.9

V12.9

Billable

Unspecified pedal cyclist 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 V12.9 is a billable code used to indicate a diagnosis of unspecified pedal cyclist 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 pedal cyclists involved in collisions with two- or three-wheeled motor vehicles during traffic accidents. It captures the external cause of morbidity and mortality related to such incidents, which are significant contributors to traffic-related injuries. Pedal cyclists are particularly vulnerable in traffic environments, and the severity of injuries can vary widely, from minor abrasions to life-threatening conditions. Accurate coding is essential for tracking injury patterns, facilitating public health interventions, and ensuring appropriate resource allocation for cyclist safety. This code is particularly relevant in urban settings where cycling is common, and it aids in understanding the impact of traffic regulations and infrastructure on cyclist safety.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in injury severity and documentation
  • Need for precise details about the accident circumstances
  • Differentiation from other traffic-related codes
  • Potential for incomplete or vague documentation

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Misclassification of the type of vehicle involved
  • Failure to specify the cyclist's role in the accident
  • Inconsistent use of external cause codes

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, including details about the collision, the type of vehicle involved, and the cyclist's condition upon arrival.

Common Clinical Scenarios

Common scenarios include cyclists presenting with fractures, head injuries, or lacerations after a collision with a motorcycle or scooter.

Billing Considerations

Accurate coding requires thorough documentation of the cyclist's injuries and the circumstances of the accident to ensure proper coding and billing.

Trauma Surgery

Documentation Requirements

Trauma surgeons should document the extent of injuries, surgical interventions, and any complications arising from the collision.

Common Clinical Scenarios

Trauma cases often involve severe injuries such as pelvic fractures or traumatic brain injuries resulting from high-impact collisions.

Billing Considerations

Consideration must be given to the mechanism of injury and the potential for multiple injuries, which may require additional codes.

Coding Guidelines

Inclusion Criteria

Use V12.9 When
  • Coders should refer to the official ICD
  • CM coding guidelines, ensuring that the external cause code is used in conjunction with the appropriate injury codes
  • It is essential to capture the full context of the incident, including the location and circumstances of the accident

Exclusion Criteria

Do NOT use V12.9 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

Document the severity of the injuries and the 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, improving data collection and analysis related to cyclist injuries and traffic safety.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data collection and analysis related to cyclist injuries and traffic safety.

Reimbursement & Billing Impact

reimbursement and tracking injury trends.

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 V12.9?

Document the specifics of the accident, including the type of vehicle involved, the cyclist's injuries, and any relevant environmental factors.