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v1.0.0
ICD-10 Guide
ICD-10 CodesV13.4

V13.4

Billable

Pedal cycle driver injured in collision with car, pick-up truck or van in traffic accident

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

Code Description

ICD-10 V13.4 is a billable code used to indicate a diagnosis of pedal cycle driver injured in collision with car, pick-up truck or van in traffic accident.

Key Diagnostic Point:

The ICD-10 code V13.4 is used to classify injuries sustained by a pedal cycle driver involved in a collision with a motor vehicle, specifically a car, pick-up truck, or van, during a traffic accident. This code is crucial for capturing the external cause of morbidity and mortality related to traffic incidents involving cyclists. It encompasses a range of potential injuries, from minor abrasions to severe trauma, and is essential for public health data collection, injury prevention strategies, and resource allocation for emergency services. Accurate coding of such incidents helps in understanding the epidemiology of cycling accidents, guiding policy decisions, and improving safety measures for cyclists on the road. Documentation should include details about the circumstances of the accident, the type of vehicle involved, and the nature of the injuries sustained.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident circumstances
  • Differentiation between types of vehicles involved
  • Potential for multiple injuries requiring additional codes
  • Variability in state laws regarding cyclist rights and responsibilities

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include the mechanism of injury, type of vehicle involved, and any pre-hospital care provided.

Common Clinical Scenarios

Cyclist presenting with head trauma after being struck by a car, or a cyclist with fractures after a collision.

Billing Considerations

Ensure that all injuries are documented and coded, including any secondary injuries from the fall.

Trauma Surgery

Documentation Requirements

Trauma assessments must detail the extent of injuries, surgical interventions, and any complications arising from the accident.

Common Clinical Scenarios

Trauma cases involving multiple injuries from a collision, requiring surgical intervention.

Billing Considerations

Consider the mechanism of injury when coding, as it may affect treatment protocols and outcomes.

Coding Guidelines

Inclusion Criteria

Use V13.4 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is important to report the external cause code to provide context for the injury and to follow the guidelines for sequencing these codes appropriately

Exclusion Criteria

Do NOT use V13.4 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 to the ED with significant injuries from a collision.

Documentation Requirements

Detailed notes on the patient's condition, treatment provided, and any referrals made.

Specialty Considerations

Emergency medicine specialists should ensure that all relevant injuries 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 accuracy and facilitating better public health responses to 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 accuracy and facilitating better public health responses to cycling accidents.

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 responses to 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 V13.4?

Documentation should include details about the accident, such as the type of vehicle involved, the circumstances leading to the collision, and a comprehensive account of the injuries sustained by the cyclist.