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ICD-10 Guide
ICD-10 CodesV41.5

V41.5

Billable

Car driver injured in collision with pedal cycle in traffic accident

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

Code Description

ICD-10 V41.5 is a billable code used to indicate a diagnosis of car driver injured in collision with pedal cycle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V41.5 is used to classify injuries sustained by a car driver involved in a traffic accident with a pedal cyclist. This code is essential for capturing the external cause of morbidity and mortality related to traffic incidents, specifically those involving motor vehicles and bicycles. In clinical practice, this code is often applied in emergency departments and trauma centers where patients present with injuries resulting from such collisions. Documentation must include details about the circumstances of the accident, the type of injuries sustained, and any contributing factors such as weather conditions or road hazards. Accurate coding is crucial for public health data collection, insurance reimbursement, and understanding the epidemiology of traffic-related injuries. This code helps in identifying trends in traffic safety and informs preventive measures to reduce similar incidents in the future.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident circumstances
  • Differentiation between types of injuries sustained
  • Potential for multiple external cause codes to be applicable
  • Variability in reporting standards across different healthcare settings

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Misclassification of the type of vehicle involved
  • Failure to capture additional injuries or conditions
  • Inconsistent coding practices across different providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency physicians must document the mechanism of injury, including the type of vehicles involved, the location of the accident, and any relevant environmental factors.

Common Clinical Scenarios

Patients presenting with fractures, lacerations, or contusions following a bicycle-car collision.

Billing Considerations

Consideration of the patient's pre-existing conditions that may affect recovery and treatment.

Trauma Surgery

Documentation Requirements

Trauma surgeons need to document the extent of injuries, surgical interventions performed, and the patient's response to treatment.

Common Clinical Scenarios

Severe injuries requiring surgical intervention, such as internal bleeding or complex fractures.

Billing Considerations

Accurate coding of all injuries sustained during the incident is critical for comprehensive trauma care.

Coding Guidelines

Inclusion Criteria

Use V41.5 When
  • According to the ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the corresponding injury codes
  • It is important to report the external cause code in the secondary position to the injury code to provide context for the injury

Exclusion Criteria

Do NOT use V41.5 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 with significant injuries from a traffic accident.

Documentation Requirements

Documentation must support the level of service provided, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine specialists should ensure that all aspects of the patient's condition are documented.

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 accuracy for traffic-related injuries. V41.5 provides a clear classification for injuries sustained by car drivers in collisions with cyclists, aiding in public health research and traffic safety initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy for traffic-related injuries. V41.5 provides a clear classification for injuries sustained by car drivers in collisions with cyclists, aiding in public health research and traffic safety initiatives.

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

What should be documented to support the use of V41.5?

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