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v1.0.0
ICD-10 Guide
ICD-10 CodesV18.0

V18.0

Billable

Pedal cycle driver injured in noncollision transport accident in nontraffic accident

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

Code Description

ICD-10 V18.0 is a billable code used to indicate a diagnosis of pedal cycle driver injured in noncollision transport accident in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V18.0 is used to classify injuries sustained by a pedal cycle driver involved in a noncollision transport accident that occurs outside of traffic scenarios. This includes incidents such as falling off the bicycle, colliding with a stationary object, or losing control due to environmental factors like wet or uneven surfaces. It is crucial to document the circumstances surrounding the injury to accurately assign this code. The code captures the external cause of morbidity and mortality related to cycling accidents that do not involve other vehicles, emphasizing the need for safety measures and awareness among cyclists. Accurate coding is essential for public health data collection, injury prevention strategies, and resource allocation for cycling safety initiatives.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the specific nature of the accident (noncollision vs. collision)
  • Differentiating between traffic and nontraffic incidents
  • Documenting environmental factors contributing to the accident
  • Understanding the context of the injury (e.g., recreational vs. commuting)

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Misclassification of traffic vs. nontraffic incidents
  • Failure to capture environmental factors contributing to the accident
  • Linking the code incorrectly with unrelated injuries

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed account of the incident, including the mechanism of injury and any environmental factors.

Common Clinical Scenarios

Patients presenting with fractures or soft tissue injuries after falling from a bicycle.

Billing Considerations

Ensure that the nontraffic nature of the accident is clearly documented to avoid misclassification.

Trauma Surgery

Documentation Requirements

Comprehensive trauma assessment, including injury severity and mechanism of injury.

Common Clinical Scenarios

Trauma cases involving multiple injuries from a cycling accident.

Billing Considerations

Consider the potential for co-existing injuries and ensure accurate coding of all related conditions.

Coding Guidelines

Inclusion Criteria

Use V18.0 When
  • Follow the ICD
  • CM Official Guidelines for Coding and Reporting, ensuring that external cause codes are reported in conjunction with the primary diagnosis code
  • Document the circumstances of the injury thoroughly to support the use of V18

Exclusion Criteria

Do NOT use V18.0 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 noncollision accident.

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, improving data accuracy for public health and injury prevention initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy for public health and injury prevention initiatives.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy for public health and injury prevention initiatives.

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 types of incidents does V18.0 cover?

V18.0 covers injuries sustained by pedal cycle drivers in noncollision transport accidents, such as falls or crashes into stationary objects, occurring outside of traffic scenarios.