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ICD-10 Guide
ICD-10 CodesV16.9

V16.9

Billable

Unspecified pedal cyclist injured in collision with other nonmotor vehicle in traffic accident

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

Code Description

ICD-10 V16.9 is a billable code used to indicate a diagnosis of unspecified pedal cyclist injured in collision with other nonmotor vehicle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V16.9 is used to classify injuries sustained by pedal cyclists involved in collisions with nonmotor vehicles, such as pedestrians, animals, or bicycles, during traffic accidents. This code is essential for capturing data on the external causes of morbidity and mortality related to cycling incidents. Pedal cyclists are particularly vulnerable in traffic environments, and understanding the circumstances surrounding these injuries can help inform public health initiatives aimed at improving cyclist safety. Documentation should include details about the nature of the collision, the type of nonmotor vehicle involved, and any contributing factors such as weather conditions or road hazards. Accurate coding is crucial for epidemiological studies and resource allocation in trauma care and prevention programs.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in documentation regarding the specifics of the collision.
  • Variability in the types of nonmotor vehicles involved.
  • Potential overlap with other external cause codes.
  • Need for precise details to differentiate from similar codes.

Audit Risk Factors

  • Inadequate documentation of the circumstances of the accident.
  • Failure to specify the type of nonmotor vehicle involved.
  • Misclassification of the injury type or severity.
  • Inconsistent coding practices among different coders.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, including details about the collision and any immediate interventions.

Common Clinical Scenarios

Pedal cyclist presenting with fractures, lacerations, or contusions following a collision with a pedestrian or another cyclist.

Billing Considerations

Ensure that all relevant details about the accident are captured, including the location, time, and contributing factors.

Trauma Surgery

Documentation Requirements

Trauma registries require comprehensive documentation of the injury mechanism, including the type of nonmotor vehicle involved and the cyclist's injuries.

Common Clinical Scenarios

Trauma cases involving severe injuries such as head trauma or pelvic fractures from a collision with a pedestrian.

Billing Considerations

Consider the need for additional codes to capture specific injuries sustained during the accident.

Coding Guidelines

Inclusion Criteria

Use V16.9 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is important to document the circumstances of the injury thoroughly, including the type of nonmotor vehicle involved and the context of the accident

Exclusion Criteria

Do NOT use V16.9 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used for a high-severity visit following a cycling accident.

Documentation Requirements

Documentation must reflect the severity of the injury and the complexity of medical decision-making.

Specialty Considerations

Emergency medicine specialists should ensure that all relevant details of the accident are documented.

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, enhancing the ability to track and analyze cycling-related injuries and their circumstances.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, enhancing the ability to track and analyze cycling-related injuries and their circumstances.

Reimbursement & Billing Impact

reimbursement and for tracking public health data.

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 V16.9?

Documentation should include details about the type of nonmotor vehicle involved, the circumstances of the collision, and any contributing factors such as road conditions or cyclist behavior.