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ICD-10 Guide
ICD-10 CodesV14.5

V14.5

Billable

Pedal cycle passenger 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 V14.5 is a billable code used to indicate a diagnosis of pedal cycle passenger injured in collision with heavy transport vehicle or bus in traffic accident.

Key Diagnostic Point:

The ICD-10 code V14.5 is used to classify injuries sustained by a pedal cycle passenger involved in a collision with a heavy transport vehicle or bus during a traffic accident. This code is essential for capturing the external cause of morbidity and mortality related to traffic incidents, particularly those involving vulnerable road users such as cyclists. In clinical settings, accurate coding of such incidents helps in understanding the epidemiology of traffic-related injuries, guiding public health interventions, and ensuring appropriate resource allocation for trauma care. 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 particularly relevant in urban areas where cycling is common and where heavy vehicles frequently share the road with cyclists, leading to a higher risk of severe injuries or fatalities.

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 and reporting standards

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Failure to specify the type of heavy transport vehicle
  • Misclassification of the injury severity
  • Omission of co-existing conditions or injuries

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include a detailed account of the accident, patient presentation, and initial assessment findings.

Common Clinical Scenarios

A cyclist is brought to the emergency department after being struck by a bus, presenting with multiple fractures and head trauma.

Billing Considerations

Ensure that all injuries are documented, and consider the mechanism of injury when coding.

Trauma Surgery

Documentation Requirements

Trauma registries should capture the mechanism of injury, injury severity scores, and treatment provided.

Common Clinical Scenarios

A patient undergoes surgery for severe leg injuries after a collision with a heavy truck.

Billing Considerations

Accurate coding of all injuries is critical for trauma outcomes analysis and resource allocation.

Coding Guidelines

Inclusion Criteria

Use V14.5 When
  • According to the ICD
  • CM coding 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 these codes correctly

Exclusion Criteria

Do NOT use V14.5 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

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

Documentation Requirements

Document the severity of the injuries and the treatment provided.

Specialty Considerations

Emergency medicine specialists should ensure that all relevant details are captured for accurate coding.

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 tracking of 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 accuracy and facilitating better public health tracking of traffic-related injuries.

Reimbursement & Billing Impact

reimbursement and for tracking injury patterns.

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 V14.5?

Documentation should include details about the accident, the type of heavy vehicle involved, the patient's injuries, and any treatment provided. Clear descriptions of the circumstances surrounding the incident are crucial for accurate coding.