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ICD-10 Guide
ICD-10 CodesV19.10

V19.10

Billable

Pedal cycle passenger injured in collision with unspecified motor vehicles in nontraffic accident

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

Code Description

ICD-10 V19.10 is a billable code used to indicate a diagnosis of pedal cycle passenger injured in collision with unspecified motor vehicles in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V19.10 is used to classify injuries sustained by a passenger on a pedal cycle involved in a collision with an unspecified motor vehicle during a nontraffic accident. This code is particularly relevant in scenarios where the incident occurs outside of typical roadway environments, such as in parking lots, private property, or during organized events. The injuries may range from minor abrasions to severe trauma, depending on the nature of the collision and the speed of the motor vehicle involved. Accurate coding requires detailed documentation of the circumstances surrounding the incident, including the location, type of vehicle, and the nature of the injuries sustained. This code is essential for tracking injury patterns, understanding public health implications, and facilitating appropriate treatment and resource allocation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in defining 'nontraffic' accidents
  • Variability in documentation quality from different healthcare providers
  • Need for precise details about the incident for accurate coding
  • Potential overlap with other external cause codes

Audit Risk Factors

  • Inadequate documentation of the accident's circumstances
  • Misclassification of traffic vs. nontraffic incidents
  • Failure to specify the type of motor vehicle involved
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, location of the accident, and any relevant patient history to support the use of V19.10.

Common Clinical Scenarios

Common scenarios include a cyclist being struck by a car in a parking lot or a driveway.

Billing Considerations

Emergency physicians should ensure that all details of the incident are captured in the medical record to avoid coding errors.

Trauma Surgery

Documentation Requirements

Trauma surgeons need to document the extent of injuries, surgical interventions, and the context of the accident for accurate coding.

Common Clinical Scenarios

Trauma cases may involve severe injuries from collisions, requiring detailed surgical notes.

Billing Considerations

Trauma documentation should include specifics about the collision to support the use of external cause codes.

Coding Guidelines

Inclusion Criteria

Use V19.10 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 full context of the incident, including the location and type of vehicle involved, to ensure accurate coding

Exclusion Criteria

Do NOT use V19.10 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a patient presents to the emergency department with injuries from a nontraffic cycling accident.

Documentation Requirements

Documentation must include the nature of the injuries and the circumstances of the accident.

Specialty Considerations

Emergency medicine specialists should ensure that all relevant details are captured 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, improving data collection and analysis for public health initiatives related to cycling injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data collection and analysis for public health initiatives related to cycling injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data collection and analysis for public health initiatives related to cycling injuries.

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 difference between V19.10 and V19.11?

V19.10 is used for pedal cycle passengers injured in nontraffic accidents, while V19.11 is for those injured in traffic accidents. Accurate coding depends on the context of the incident.