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ICD-10 Guide
ICD-10 CodesV19.59

V19.59

Billable

Pedal cycle passenger injured in collision with other motor vehicles in traffic accident

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

Code Description

ICD-10 V19.59 is a billable code used to indicate a diagnosis of pedal cycle passenger injured in collision with other motor vehicles in traffic accident.

Key Diagnostic Point:

The ICD-10 code V19.59 is used to classify injuries sustained by a pedal cycle passenger involved in a collision with other motor vehicles during a traffic accident. This code is essential for capturing the external cause of morbidity and mortality related to cycling accidents, which can lead to significant injuries such as fractures, head trauma, and soft tissue injuries. Accurate coding is crucial for public health data collection, resource allocation, and injury prevention strategies. The code is applicable in various clinical scenarios, including emergency department visits, inpatient admissions, and outpatient follow-ups, where the patient presents with injuries resulting from such incidents. Documentation should include details about the circumstances of the accident, the type of vehicle involved, and the nature of the injuries sustained to ensure precise coding and facilitate effective treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for detailed documentation of the accident circumstances
  • Variability in injury types and severity
  • Potential for multiple external cause codes to be applicable
  • Differentiation between passenger and cyclist roles

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Misclassification of the role of the patient (e.g., cyclist vs. passenger)
  • Failure to capture all relevant external cause codes
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency physicians should document the mechanism of injury, including the type of vehicles involved, the speed of the vehicles, and the circumstances leading to the collision.

Common Clinical Scenarios

Patients presenting with head injuries, fractures, or lacerations after being struck by a motor vehicle while riding as a passenger on a bicycle.

Billing Considerations

Consideration should be given to the potential for multiple injuries and the need for comprehensive documentation to support the coding of all injuries sustained.

Trauma Surgery

Documentation Requirements

Trauma surgeons must document the extent of injuries, surgical interventions performed, and any complications arising from the accident.

Common Clinical Scenarios

Trauma cases involving severe injuries such as pelvic fractures, traumatic brain injuries, or internal organ damage due to a collision.

Billing Considerations

Accurate coding is critical for trauma registries and for tracking outcomes related to specific types of traffic accidents.

Coding Guidelines

Inclusion Criteria

Use V19.59 When
  • According to the ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is essential to report the external cause code to provide context for the injury and to follow the guidelines for sequencing external cause codes appropriately

Exclusion Criteria

Do NOT use V19.59 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 to the emergency department with injuries from a traffic accident.

Documentation Requirements

Documentation must include the nature of the injuries, treatment provided, and any follow-up care needed.

Specialty Considerations

Emergency medicine specialists 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, improving data accuracy for public health reporting and injury prevention efforts. V19.59 provides a clear classification for pedal cycle passengers injured in traffic accidents, enhancing the ability to track and analyze these incidents.

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 reporting and injury prevention efforts. V19.59 provides a clear classification for pedal cycle passengers injured in traffic accidents, enhancing the ability to track and analyze these incidents.

Reimbursement & Billing Impact

reimbursement and for maintaining compliance with coding standards.

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 should be documented to support the use of code V19.59?

Documentation should include details about the accident, such as the type of vehicles involved, the circumstances leading to the collision, and the nature of the injuries sustained by the patient.