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v1.0.0
ICD-10 Guide
ICD-10 CodesChapter 20: External causes of morbidityV14

V14

Billable

Pedal cycle rider injured in collision with heavy transport vehicle or bus

Chapter 20:External causes of morbidity

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

Code Description

ICD-10 V14 is a billable code used to indicate a diagnosis of pedal cycle rider injured in collision with heavy transport vehicle or bus.

Key Diagnostic Point:

The V14 code is utilized to classify injuries sustained by pedal cycle riders involved in collisions with heavy transport vehicles or buses. This code is critical in capturing the external causes of morbidity and mortality associated with cycling accidents, particularly in urban environments where heavy traffic is prevalent. Injuries can range from minor abrasions to severe trauma, including fractures, head injuries, and internal injuries, depending on the speed of the vehicle and the circumstances of the collision. Accurate coding of these incidents is essential for public health data collection, injury prevention strategies, and resource allocation for emergency services. It also aids in understanding the epidemiology of cycling-related injuries, which can inform policy decisions regarding road safety and infrastructure improvements. Proper documentation of the circumstances surrounding the incident, including the location, time, and contributing factors, is vital for accurate coding and subsequent analysis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for detailed documentation of the incident circumstances
  • Variability in injury severity and types
  • Potential for multiple external cause codes to apply
  • Differentiation between types of vehicles involved

Audit Risk Factors

  • Inadequate documentation of the collision details
  • Misclassification of the type of vehicle involved
  • Failure to capture the severity of injuries
  • Inconsistent use of external cause codes in similar cases

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must include details of the incident, patient presentation, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with head trauma, fractures, or lacerations following a collision with a bus or heavy vehicle.

Billing Considerations

Consideration of potential secondary injuries and the need for trauma activation protocols.

Trauma Surgery

Documentation Requirements

Comprehensive trauma assessments, including mechanism of injury, injury patterns, and surgical interventions if applicable.

Common Clinical Scenarios

Severe injuries requiring surgical intervention, such as pelvic fractures or traumatic brain injuries.

Billing Considerations

Documentation must reflect the full extent of injuries and any complications arising from the collision.

Coding Guidelines

Inclusion Criteria

Use V14 When
  • According to ICD
  • CM guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is essential to report the external cause code to provide context for the injury and to follow the guidelines for sequencing external cause codes appropriately

Exclusion Criteria

Do NOT use V14 When
No specific exclusions found.

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a cyclist presents with severe injuries after a collision.

Documentation Requirements

Documentation must reflect the severity of the patient's condition and the complexity of care provided.

Specialty Considerations

Emergency medicine specialists should ensure that all relevant details of the incident are captured.

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 accuracy for public health initiatives and injury prevention strategies. V14 provides a clear classification for pedal cycle injuries involving heavy vehicles, which was less detailed in ICD-9.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy for public health initiatives and injury prevention strategies. V14 provides a clear classification for pedal cycle injuries involving heavy vehicles, which was less detailed in ICD-9.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy for public health initiatives and injury prevention strategies. V14 provides a clear classification for pedal cycle injuries involving heavy vehicles, which was less detailed in ICD-9.

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

When should V14 be used?

V14 should be used when documenting injuries sustained by a pedal cycle rider involved in a collision with a heavy transport vehicle or bus, ensuring that the circumstances of the incident are well-documented.