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ICD-10 Guide
ICD-10 CodesV19.20

V19.20

Billable

Unspecified pedal cyclist injured in collision with unspecified motor vehicles in nontraffic accident

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

Code Description

ICD-10 V19.20 is a billable code used to indicate a diagnosis of unspecified pedal cyclist injured in collision with unspecified motor vehicles in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V19.20 is used to classify injuries sustained by pedal cyclists involved in collisions with motor vehicles that occur outside of traditional traffic settings. This code is particularly relevant in cases where the specifics of the accident are not clearly defined, such as incidents occurring in private property, parking lots, or other non-public roadways. The code captures the external cause of morbidity and mortality related to cycling accidents, which can include a range of injuries from minor abrasions to severe trauma. Accurate coding is essential for tracking injury patterns, facilitating public health initiatives, and ensuring appropriate resource allocation for cyclist safety programs. Documentation should include details about the circumstances of the accident, the type of vehicle involved, and the nature of the injuries sustained to support the use of this code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in defining 'nontraffic' accidents
  • Variability in documentation quality regarding accident details
  • Potential overlap with other external cause codes
  • Need for specificity in injury descriptions

Audit Risk Factors

  • Inadequate documentation of the accident's context
  • Misclassification of traffic vs. nontraffic incidents
  • Failure to specify the type of injuries sustained
  • Inconsistent coding practices among different providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, including the location of the accident and the type of vehicle involved. Detailed descriptions of the injuries and any immediate treatment provided are also necessary.

Common Clinical Scenarios

Common scenarios include cyclists colliding with vehicles in parking lots or private driveways, where traffic laws may not apply.

Billing Considerations

Emergency physicians should ensure that all relevant details are captured to support accurate coding and facilitate appropriate follow-up care.

Trauma Surgery

Documentation Requirements

Trauma surgeons need comprehensive documentation of the injuries sustained, including anatomical details and the mechanism of injury. This information is crucial for surgical planning and coding.

Common Clinical Scenarios

Trauma cases may involve severe injuries from collisions with vehicles, necessitating surgical intervention.

Billing Considerations

Surgeons should be aware of the coding implications of the accident's context and ensure that all relevant details are included in the operative report.

Coding Guidelines

Inclusion Criteria

Use V19.20 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • Coders must ensure that the external cause code accurately reflects the circumstances of the injury and is supported by the clinical documentation

Exclusion Criteria

Do NOT use V19.20 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a cyclist presents to the emergency department with significant injuries from a collision.

Documentation Requirements

Documentation must include the nature of the injuries, the mechanism of injury, and any treatments provided.

Specialty Considerations

Emergency medicine providers should ensure that all relevant details are captured to support the complexity of the visit.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more detailed coding of external causes, improving the ability to track and analyze injury patterns among cyclists. This specificity aids in public health initiatives aimed at reducing cyclist injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes, improving the ability to track and analyze injury patterns among cyclists. This specificity aids in public health initiatives aimed at reducing cyclist injuries.

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

When should I use V19.20 instead of V19.21?

Use V19.20 when the accident occurs in a nontraffic setting, such as a parking lot or private property. If the accident occurs on a public road or involves traffic, use V19.21.