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v1.0.0
ICD-10 Guide
ICD-10 CodesV14.4

V14.4

Billable

Pedal cycle driver injured in collision with heavy transport vehicle or bus in traffic accident

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

Code Description

ICD-10 V14.4 is a billable code used to indicate a diagnosis of pedal cycle driver injured in collision with heavy transport vehicle or bus in traffic accident.

Key Diagnostic Point:

This code is used to classify injuries sustained by a pedal cycle driver involved in a collision with a heavy transport vehicle or bus during a traffic accident. Such incidents often result in severe injuries due to the significant weight and size difference between the bicycle and the vehicle. Common injuries may include fractures, head trauma, and soft tissue injuries. Accurate coding is essential for tracking morbidity and mortality associated with traffic accidents, which can inform public health initiatives aimed at improving road safety for cyclists. 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 crucial for understanding the impact of traffic accidents on public health and for developing targeted interventions to reduce such incidents.

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 local traffic laws affecting reporting

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 providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly describe the mechanism of injury, including the type of vehicle involved and the circumstances of the collision.

Common Clinical Scenarios

A cyclist presenting with head trauma after being struck by a bus, requiring immediate assessment and intervention.

Billing Considerations

Consideration of potential secondary injuries and the need for follow-up care should be documented.

Trauma Surgery

Documentation Requirements

Trauma notes must detail the injuries sustained, surgical interventions performed, and the mechanism of injury.

Common Clinical Scenarios

A cyclist with multiple fractures and internal injuries following a collision with a heavy truck.

Billing Considerations

Accurate coding of all injuries is critical for surgical planning and outcome tracking.

Coding Guidelines

Inclusion Criteria

Use V14.4 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • The external cause code should be reported to indicate the cause of the injury, and it is important to capture the sequence of events accurately

Exclusion Criteria

Do NOT use V14.4 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 with severe injuries after a collision.

Documentation Requirements

Documentation must support the level of service provided, including details of the injuries and treatment.

Specialty Considerations

Emergency medicine providers should ensure that all injuries are documented to justify the visit level.

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 V14.4?

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.