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ICD-10 Guide
ICD-10 CodesV16.4

V16.4

Billable

Pedal cycle driver injured in collision with other nonmotor vehicle in traffic accident

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

Code Description

ICD-10 V16.4 is a billable code used to indicate a diagnosis of pedal cycle driver injured in collision with other nonmotor vehicle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V16.4 is used to classify injuries sustained by a pedal cycle driver involved in a collision with another nonmotor vehicle during a traffic accident. This code is essential for capturing the external cause of morbidity and mortality related to cycling accidents, which can include injuries from collisions with pedestrians, animals, or other nonmotor vehicles such as scooters or skateboards. Accurate coding is crucial for public health data collection, injury prevention strategies, and resource allocation for trauma care. Documentation should include details about the circumstances of the accident, 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 can help identify trends in cycling-related injuries, informing safety initiatives and policy changes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the type of nonmotor vehicle involved
  • Variability in injury severity and types of injuries sustained
  • Potential for multiple external cause codes to be applicable
  • Requirement for detailed accident circumstances to support coding

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Failure to specify the type of nonmotor vehicle involved
  • Incorrect linkage of injuries to the external cause code
  • Use of the code without supporting clinical evidence

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include a detailed account of the accident, including the type of nonmotor vehicle, location, and circumstances leading to the injury.

Common Clinical Scenarios

A cyclist colliding with a pedestrian while navigating through a crowded park.

Billing Considerations

Ensure that all relevant details are captured in the medical record to support the use of V16.4.

Trauma Surgery

Documentation Requirements

Trauma documentation must include mechanism of injury, injury severity, and any surgical interventions performed.

Common Clinical Scenarios

A cyclist presenting with fractures after colliding with a skateboarder.

Billing Considerations

Accurate coding is critical for trauma registries and quality improvement initiatives.

Coding Guidelines

Inclusion Criteria

Use V16.4 When
  • According to ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is important to report the external cause code in the secondary position to the injury code to provide context for the injury

Exclusion Criteria

Do NOT use V16.4 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used when a cyclist presents to the ED with injuries from a collision.

Documentation Requirements

Document the nature of the injuries and the circumstances of the accident.

Specialty Considerations

Emergency medicine providers should ensure thorough documentation to support 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, including cycling accidents. This specificity aids in better tracking and understanding of injury patterns and trends.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including cycling accidents. This specificity aids in better tracking and understanding of injury patterns and trends.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including cycling accidents. This specificity aids in better tracking and understanding of injury patterns and trends.

Resources

Clinical References

  • •
    CDC Injury Prevention

Coding & Billing References

  • •
    CDC Injury Prevention

Frequently Asked Questions

What types of injuries are typically associated with V16.4?

Injuries can range from minor abrasions and contusions to severe fractures and head injuries, depending on the circumstances of the collision.