ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesV19.9

V19.9

Billable

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

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

Code Description

ICD-10 V19.9 is a billable code used to indicate a diagnosis of pedal cyclist (driver) (passenger) injured in unspecified traffic accident.

Key Diagnostic Point:

The ICD-10 code V19.9 is used to classify injuries sustained by pedal cyclists, whether they are drivers or passengers, in traffic accidents that are not specified. This code is essential for capturing data on the incidence of injuries among cyclists, which can inform public health initiatives and safety regulations. It encompasses a wide range of potential injuries, from minor abrasions to severe trauma, and is particularly relevant in urban areas where cycling is common. Accurate coding is crucial for understanding the epidemiology of cycling injuries and for developing targeted interventions to improve cyclist safety. This code is often used in emergency departments and trauma centers where cyclists present after accidents, and it highlights the need for comprehensive documentation of the circumstances surrounding the injury to ensure proper coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in the specifics of the traffic accident
  • Variability in injury severity and type
  • Need for detailed documentation of circumstances
  • Potential overlap with other external cause codes

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Misclassification of the type of cyclist (driver vs. passenger)
  • Failure to capture the mechanism of injury
  • 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 contributing factors such as weather conditions or road conditions.

Common Clinical Scenarios

Cyclists presenting with fractures, lacerations, or head injuries after being struck by a vehicle or falling off their bike.

Billing Considerations

Ensure that all relevant details are captured in the medical record to support the use of V19.9, especially if the specifics of the accident are unclear.

Trauma Surgery

Documentation Requirements

Trauma documentation should include a detailed account of the injury mechanism, patient history, and any pre-existing conditions that may affect treatment.

Common Clinical Scenarios

Trauma cases involving cyclists with severe injuries requiring surgical intervention, such as pelvic fractures or traumatic brain injuries.

Billing Considerations

Accurate coding is critical for trauma registries and can influence quality metrics and funding for trauma centers.

Coding Guidelines

Inclusion Criteria

Use V19.9 When
  • According to the ICD
  • CM Official Guidelines for Coding and Reporting, external cause codes should be used to describe the cause of injury or health condition
  • 9 should be used when the specific details of the traffic accident are not available
  • It is important to sequence external cause codes appropriately, typically following the primary diagnosis code

Exclusion Criteria

Do NOT use V19.9 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 with serious injuries requiring immediate attention.

Documentation Requirements

Document the presenting problems, examination findings, and any interventions performed.

Specialty Considerations

Emergency medicine specialists should ensure that the visit is coded accurately based on the severity of the patient's condition.

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 of injuries, including those involving cyclists. This has improved data collection and analysis for public health initiatives aimed at reducing cycling injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, including those involving cyclists. This has improved data collection and analysis for public health initiatives aimed at reducing cycling 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 V19.9 instead of more specific codes?

Use V19.9 when the specifics of the traffic accident are not available or documented. If details are known, opt for more specific codes like V19.0 or V19.1.