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ICD-10 Guide
ICD-10 CodesV61.3

V61.3

Billable

Unspecified occupant of heavy transport vehicle injured in collision with pedal cycle in nontraffic accident

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

Code Description

ICD-10 V61.3 is a billable code used to indicate a diagnosis of unspecified occupant of heavy transport vehicle injured in collision with pedal cycle in nontraffic accident.

Key Diagnostic Point:

The V61.3 code is utilized to classify injuries sustained by an unspecified occupant of a heavy transport vehicle involved in a collision with a pedal cycle during a nontraffic accident. This scenario typically occurs in settings where heavy vehicles, such as trucks or buses, are involved in accidents that do not occur on public roadways, such as in parking lots, construction sites, or private property. The injuries sustained can vary widely, from minor abrasions to severe trauma, depending on the circumstances of the collision. Accurate coding is essential for tracking injury patterns, understanding public health implications, and ensuring appropriate resource allocation for trauma care. This code is particularly relevant in emergency medicine and trauma surgery, where quick and precise documentation of external causes of injuries is critical for patient management and billing purposes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in documentation regarding the specifics of the accident
  • Variability in injury severity and types of injuries sustained
  • Potential overlap with other external cause codes
  • Need for precise details about the nature of the transport vehicle and the circumstances of the accident

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Misclassification of the accident type (traffic vs. nontraffic)
  • Failure to specify the type of heavy transport vehicle
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, the type of vehicle involved, and the location of the accident to support the use of V61.3.

Common Clinical Scenarios

Patients presenting with injuries from collisions in parking lots or private property where heavy vehicles are present.

Billing Considerations

Emergency physicians should ensure that all relevant details are captured in the medical record to avoid ambiguity in coding.

Trauma Surgery

Documentation Requirements

Trauma documentation must include specifics about the injury, the mechanism of injury, and the patient's condition upon arrival.

Common Clinical Scenarios

Trauma cases involving significant injuries from heavy vehicle collisions, requiring surgical intervention.

Billing Considerations

Trauma surgeons should be aware of the coding implications of the mechanism of injury and ensure accurate documentation to support coding.

Coding Guidelines

Inclusion Criteria

Use V61.3 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 clearly and to use the most specific code available

Exclusion Criteria

Do NOT use V61.3 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 to the emergency department with injuries from a nontraffic accident involving a heavy transport vehicle.

Documentation Requirements

Documentation must include details of the injury, mechanism of injury, and any treatments provided.

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, including those related to heavy transport vehicles. This specificity aids in better tracking and understanding of injury patterns, which can inform public health initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those related to heavy transport vehicles. This specificity aids in better tracking and understanding of injury patterns, which can inform public health 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 I document to support the use of V61.3?

You should document the specifics of the accident, including the type of heavy transport vehicle involved, the circumstances of the collision, and the nature of the injuries sustained.