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ICD-10 Guide
ICD-10 CodesChapter 20: External causes of morbidityV61

V61

Billable

Occupant of heavy transport vehicle injured in collision with pedal cycle

Chapter 20:External causes of morbidity

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

Code Description

ICD-10 V61 is a billable code used to indicate a diagnosis of occupant of heavy transport vehicle injured in collision with pedal cycle.

Key Diagnostic Point:

The ICD-10 code V61 is used to classify injuries sustained by occupants of heavy transport vehicles, such as buses or trucks, when involved in a collision with a pedal cycle. This code is crucial for capturing the external cause of morbidity and mortality associated with traffic accidents. In clinical practice, it is essential to document the circumstances surrounding the incident, including the type of vehicle involved, the nature of the collision, and the resulting injuries. Accurate coding of such incidents aids in public health surveillance, resource allocation, and the development of safety interventions. For instance, a bus driver involved in a collision with a cyclist may present with psychological trauma or physical injuries, necessitating comprehensive documentation to ensure appropriate care and coding. This code is particularly relevant in urban settings where heavy transport vehicles frequently interact with cyclists, highlighting the need for safety measures and awareness campaigns.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the specific type of heavy transport vehicle involved.
  • Accurate documentation of the circumstances of the collision.
  • Differentiating between injuries sustained by the vehicle occupant versus the cyclist.
  • Understanding the nuances of external cause coding guidelines.

Audit Risk Factors

  • Inadequate documentation of the incident details.
  • Failure to specify the type of heavy transport vehicle.
  • Misclassification of the injury type (occupant vs. cyclist).
  • Inconsistent use of external cause codes across different encounters.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, patient demographics, and any pre-existing conditions that may affect treatment.

Common Clinical Scenarios

Patients presenting with trauma from a collision, including fractures, lacerations, or psychological trauma.

Billing Considerations

Emergency physicians should ensure that all relevant details of the incident are captured to support accurate coding.

Trauma Surgery

Documentation Requirements

Trauma surgeons need detailed accounts of the injury mechanism, including the speed of the vehicles involved and the impact location.

Common Clinical Scenarios

Surgical interventions for severe injuries resulting from collisions, such as internal bleeding or fractures.

Billing Considerations

Trauma documentation must reflect the severity of injuries and the circumstances leading to the trauma for accurate coding.

Coding Guidelines

Inclusion Criteria

Use V61 When
  • According to the ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to report the external cause code to provide context for the injury and to follow the guidelines for sequencing these codes appropriately

Exclusion Criteria

Do NOT use V61 When
No specific exclusions found.

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a patient presents with significant injuries from a collision.

Documentation Requirements

Document the nature of the injuries and the circumstances of the collision.

Specialty Considerations

Emergency medicine specialists should ensure thorough documentation to support the level of service billed.

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 and enabling better tracking of injury patterns related to heavy transport vehicle collisions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy and enabling better tracking of injury patterns related to heavy transport vehicle collisions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy and enabling better tracking of injury patterns related to heavy transport vehicle collisions.

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 code V61?

Use code V61 when documenting injuries sustained by occupants of heavy transport vehicles involved in collisions with pedal cycles, ensuring that all relevant details of the incident are captured.