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ICD-10 Guide
ICD-10 CodesV14.9

V14.9

Billable

Unspecified pedal cyclist 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 V14.9 is a billable code used to indicate a diagnosis of unspecified pedal cyclist injured in collision with heavy transport vehicle or bus in traffic accident.

Key Diagnostic Point:

This code is used to classify injuries sustained by pedal cyclists involved in collisions with heavy transport vehicles or buses during traffic accidents. It captures the external cause of morbidity and mortality related to traffic incidents, specifically focusing on the cyclist's involvement. The code is essential for public health data collection and analysis, as it helps identify trends in traffic-related injuries and informs preventive measures. Accurate coding is crucial for understanding the impact of such accidents on public health and for resource allocation in emergency services and trauma care. Documentation should include details about the circumstances of the accident, the type of vehicle involved, and the nature of the injuries sustained by the cyclist.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in documentation regarding the specifics of the accident.
  • Variability in injury severity and types of injuries sustained.
  • Need for precise details about the vehicle involved.
  • Potential overlap with other external cause codes.

Audit Risk Factors

  • Inadequate documentation of the accident details.
  • Failure to specify the type of heavy transport vehicle.
  • Misuse of unspecified codes leading to potential denials.
  • Inconsistent coding practices among different coders.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include a detailed account of the accident, the cyclist's injuries, and any immediate interventions performed.

Common Clinical Scenarios

Cyclists presenting with fractures, lacerations, or head injuries after a collision with a bus or truck.

Billing Considerations

Ensure that the mechanism of injury is clearly documented to support the use of this external cause code.

Trauma Surgery

Documentation Requirements

Trauma registries require comprehensive documentation of the injury mechanism, including the type of vehicle and the circumstances of the collision.

Common Clinical Scenarios

Trauma cases involving severe injuries from collisions, requiring surgical intervention.

Billing Considerations

Accurate coding is critical for trauma statistics and resource allocation; ensure all details are captured.

Coding Guidelines

Inclusion Criteria

Use V14.9 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the corresponding injury codes
  • The external cause code should be reported in the secondary position to the injury code
  • Documentation must support the use of this code, detailing the circumstances of the accident

Exclusion Criteria

Do NOT use V14.9 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 serious injuries requiring immediate attention.

Documentation Requirements

Document the nature 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 accuracy for public health reporting and resource allocation. This code helps capture the nuances of cyclist injuries in traffic accidents.

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 reporting and resource allocation. This code helps capture the nuances of cyclist injuries in traffic accidents.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy for public health reporting and resource allocation. This code helps capture the nuances of cyclist injuries in traffic accidents.

Resources

Clinical References

  • •
    CDC Injury Prevention & Control

Coding & Billing References

  • •
    CDC Injury Prevention & Control

Frequently Asked Questions

What should be documented to use code V14.9?

Documentation should include details about the accident, the type of vehicle involved, the cyclist's injuries, and any immediate care provided. Clear descriptions help ensure accurate coding.