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ICD-10 Guide
ICD-10 CodesV19.3

V19.3

Billable

Pedal cyclist (driver) (passenger) injured in unspecified nontraffic accident

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

Code Description

ICD-10 V19.3 is a billable code used to indicate a diagnosis of pedal cyclist (driver) (passenger) injured in unspecified nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V19.3 is used to classify injuries sustained by pedal cyclists, whether as drivers or passengers, in nontraffic accidents that are not specified. This code captures a wide range of incidents, including falls, collisions with stationary objects, or accidents occurring in private property settings. It is essential for documenting injuries that occur outside of the typical traffic environment, which may include recreational areas, residential neighborhoods, or during organized cycling events. Accurate coding of V19.3 is crucial for understanding the epidemiology of cycling injuries, facilitating public health initiatives, and ensuring appropriate resource allocation for injury prevention programs. Clinicians must provide detailed documentation of the circumstances surrounding the injury to support the use of this code effectively.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in defining 'nontraffic' accidents
  • Variability in documentation quality from different providers
  • Need for specificity in injury description
  • Potential overlap with other external cause codes

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Misclassification of traffic vs. nontraffic incidents
  • Failure to specify the nature of the injury
  • Inconsistent coding practices among different providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must clearly outline the mechanism of injury, location, and any relevant patient history.

Common Clinical Scenarios

Injuries from falls while cycling in parks, collisions with objects in residential areas.

Billing Considerations

Ensure that the documentation specifies that the incident was nontraffic-related to avoid misclassification.

Trauma Surgery

Documentation Requirements

Detailed trauma assessments and operative notes should include the mechanism of injury and any associated injuries.

Common Clinical Scenarios

Cyclists presenting with fractures or soft tissue injuries from falls or collisions in nontraffic settings.

Billing Considerations

Consider the potential for multiple injuries and the need for comprehensive coding of all related conditions.

Coding Guidelines

Inclusion Criteria

Use V19.3 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to document the circumstances of the injury thoroughly and to use the most specific code available to describe the event

Exclusion Criteria

Do NOT use V19.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used when a cyclist presents to the ED with injuries from a nontraffic accident.

Documentation Requirements

Document the nature of the injury, mechanism of injury, 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 nontraffic accidents. This specificity aids in better tracking and understanding of injury patterns among cyclists.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including nontraffic accidents. This specificity aids in better tracking and understanding of injury patterns among cyclists.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including nontraffic accidents. This specificity aids in better tracking and understanding of injury patterns among cyclists.

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 injuries are covered under V19.3?

V19.3 covers a wide range of injuries sustained by cyclists in nontraffic accidents, including fractures, soft tissue injuries, and concussions, as long as the incident does not occur on a public roadway.