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v1.0.0
ICD-10 Guide
ICD-10 CodesChapter 20: External causes of morbidityV16

V16

Billable

Pedal cycle rider injured in collision with other nonmotor vehicle

Chapter 20:External causes of morbidity

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

Code Description

ICD-10 V16 is a billable code used to indicate a diagnosis of pedal cycle rider injured in collision with other nonmotor vehicle.

Key Diagnostic Point:

The ICD-10 code V16 is used to classify injuries sustained by pedal cycle riders involved in collisions with nonmotor vehicles, such as pedestrians, animals, or other bicycles. This code is crucial for capturing the external causes of morbidity and mortality related to cycling accidents. In clinical practice, accurate coding of such incidents helps in understanding the epidemiology of cycling injuries, guiding public health interventions, and improving safety measures. Documentation should include details about the circumstances of the collision, the type of nonmotor vehicle involved, and the nature of the injuries sustained. This code is particularly relevant in urban settings where cycling is common, and it can help identify trends in cycling-related injuries, informing policy and preventive strategies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the collision circumstances.
  • Differentiation between types of nonmotor vehicles involved.
  • Potential for multiple injuries requiring additional codes.
  • Variability in local traffic laws affecting coding.

Audit Risk Factors

  • Inadequate documentation of the incident details.
  • Misclassification of the type of nonmotor vehicle involved.
  • Failure to capture all injuries sustained.
  • Inconsistent coding practices across providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, including the type of nonmotor vehicle involved and the circumstances of the collision.

Common Clinical Scenarios

Patients presenting with fractures, lacerations, or concussions after a cycling accident.

Billing Considerations

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

Trauma Surgery

Documentation Requirements

Detailed trauma documentation is required, including the mechanism of injury and any surgical interventions performed.

Common Clinical Scenarios

Trauma cases involving severe injuries from collisions with pedestrians or other cyclists.

Billing Considerations

Consider the need for additional codes for associated injuries and the impact of the collision on the patient's overall condition.

Coding Guidelines

Inclusion Criteria

Use V16 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 V16 When
No specific exclusions found.

Related CPT Codes

99283CPT Code

Emergency department visit, level 3

Clinical Scenario

Used when a cyclist presents to the ED with moderate injuries.

Documentation Requirements

Document the nature of the injuries and the external cause.

Specialty Considerations

Emergency medicine providers should ensure thorough documentation of the incident.

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 collection on cycling injuries and enhancing the ability to analyze trends and implement safety measures.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data collection on cycling injuries and enhancing the ability to analyze trends and implement safety measures.

Reimbursement & Billing Impact

reimbursement.

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 use code V16?

Documentation should include details about the collision, the type of nonmotor vehicle involved, and the specific injuries sustained by the cyclist.