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ICD-10 Guide
ICD-10 CodesV61.5

V61.5

Billable

Driver of heavy transport vehicle injured in collision with pedal cycle in traffic accident

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

Code Description

ICD-10 V61.5 is a billable code used to indicate a diagnosis of driver of heavy transport vehicle injured in collision with pedal cycle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V61.5 is used to classify injuries sustained by the driver of a heavy transport vehicle involved in a collision with a pedal cycle during a traffic accident. This code captures the external cause of morbidity and mortality related to traffic incidents, specifically focusing on the dynamics of heavy vehicle interactions with cyclists. In such scenarios, the driver may experience various injuries, including but not limited to fractures, contusions, or lacerations, depending on the severity of the collision. Accurate coding is essential for understanding the epidemiology of traffic-related injuries, facilitating appropriate public health interventions, and ensuring proper resource allocation for trauma care. This code is particularly relevant in urban settings where heavy transport vehicles frequently share roadways with cyclists, highlighting the need for safety measures and awareness campaigns aimed at reducing such incidents.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the specific circumstances of the collision.
  • Differentiating between the roles of the individuals involved (driver vs. cyclist).
  • Identifying the severity of injuries sustained by the driver.
  • Ensuring accurate documentation of the accident details.

Audit Risk Factors

  • Inadequate documentation of the accident circumstances.
  • Misclassification of the type of vehicle involved.
  • Failure to specify the nature of injuries sustained.
  • Inconsistent coding practices among different coders.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, the patient's condition upon arrival, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with trauma after being involved in a traffic accident, particularly those with head injuries or fractures.

Billing Considerations

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

Trauma Surgery

Documentation Requirements

Trauma surgeons need detailed accounts of the injuries sustained, surgical interventions performed, and the patient's response to treatment.

Common Clinical Scenarios

Trauma cases involving significant injuries from traffic accidents, requiring surgical intervention.

Billing Considerations

Trauma documentation must include the mechanism of injury and any pre-existing conditions that may affect treatment.

Coding Guidelines

Inclusion Criteria

Use V61.5 When
  • According to the ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the appropriate diagnosis 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 correctly

Exclusion Criteria

Do NOT use V61.5 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 to the emergency department after a traffic accident.

Documentation Requirements

Document the patient's condition, treatment provided, and any referrals made.

Specialty Considerations

Emergency medicine specialists should ensure that all relevant details of the accident are captured.

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, improving data accuracy for traffic-related injuries. This specificity aids in public health research and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes, improving data accuracy for traffic-related injuries. This specificity aids in public health research and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of external causes, improving data accuracy for traffic-related injuries. This specificity aids in public health research and resource allocation.

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 V61.5?

Documentation should include details of the accident, the type of vehicle involved, the nature of injuries sustained by the driver, and any relevant witness statements or police reports.