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ICD-10 Guide
ICD-10 CodesV18.3

V18.3

Billable

Person boarding or alighting a pedal cycle injured in noncollision transport accident

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

Code Description

ICD-10 V18.3 is a billable code used to indicate a diagnosis of person boarding or alighting a pedal cycle injured in noncollision transport accident.

Key Diagnostic Point:

The ICD-10 code V18.3 is used to classify injuries sustained by individuals who are boarding or alighting from a pedal cycle (bicycle) during a noncollision transport accident. This may include incidents such as falling while getting on or off the bicycle, or being injured due to environmental factors (e.g., uneven surfaces, obstacles) while in the process of boarding or alighting. Such injuries can range from minor abrasions to more severe injuries like fractures or concussions. Accurate coding of these incidents is crucial for understanding the epidemiology of cycling injuries and for implementing public health interventions aimed at reducing such accidents. Documentation should include details about the circumstances of the injury, the mechanism of injury, and any contributing factors, such as road conditions or the presence of other vehicles, even if a collision did not occur.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the circumstances surrounding the injury.
  • Differentiation between collision and noncollision incidents.
  • Potential for confusion with other cycling-related codes.
  • Variability in reporting practices across different healthcare settings.

Audit Risk Factors

  • Inadequate documentation of the circumstances leading to the injury.
  • Misclassification of the event as a collision rather than a noncollision.
  • Failure to capture all relevant external cause codes.
  • Inconsistent coding practices across different providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department documentation should include a detailed account of the incident, including the mechanism of injury, patient’s activities at the time of injury, and any environmental factors.

Common Clinical Scenarios

Patients presenting with fractures, contusions, or lacerations after falling while boarding or alighting from a bicycle.

Billing Considerations

Emergency providers should ensure that all relevant details are captured to support accurate coding and facilitate appropriate public health reporting.

Trauma Surgery

Documentation Requirements

Trauma documentation must include a comprehensive assessment of the injury, including the mechanism of injury and any associated injuries.

Common Clinical Scenarios

Trauma cases involving significant injuries from falls while boarding or alighting from a bicycle, requiring surgical intervention.

Billing Considerations

Trauma surgeons should be aware of the importance of documenting the noncollision nature of the incident to ensure accurate coding.

Coding Guidelines

Inclusion Criteria

Use V18.3 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to capture the specific circumstances of the injury, including the location and activity at the time of the incident
  • Coders should ensure that the external cause code is reported to the highest level of specificity

Exclusion Criteria

Do NOT use V18.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used when a patient presents with injuries from a noncollision bicycle incident.

Documentation Requirements

Document the nature of the injury, mechanism, and any treatments provided.

Specialty Considerations

Emergency medicine providers should ensure that the visit is coded accurately based on 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 of injuries, including noncollision incidents. This specificity aids in better tracking and understanding of injury patterns, which can inform public health initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including noncollision incidents. This specificity aids in better tracking and understanding of injury patterns, which can inform public health initiatives.

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 is the importance of using V18.3 accurately?

Accurate use of V18.3 helps in understanding the epidemiology of cycling injuries and informs public health strategies aimed at reducing such incidents. It also ensures proper reimbursement and compliance with coding standards.