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ICD-10 Guide
ICD-10 CodesV61.6

V61.6

Billable

Passenger in 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 V61.6 is a billable code used to indicate a diagnosis of passenger in heavy transport vehicle injured in collision with pedal cycle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V61.6 is used to classify injuries sustained by passengers in heavy transport vehicles involved in collisions with pedal cycles during traffic accidents. This code captures the external cause of morbidity and mortality related to such incidents, which are significant contributors to road traffic injuries. Passengers in heavy transport vehicles, such as buses or trucks, may experience various injuries ranging from minor to severe, depending on the nature of the collision and the safety measures in place. Accurate coding of these incidents is crucial for public health data collection, resource allocation, and injury prevention strategies. It is essential for healthcare providers to document the circumstances of the accident, including the type of vehicle involved, the location of the incident, and the nature of the injuries sustained, to ensure proper coding and facilitate effective treatment and follow-up care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident circumstances
  • Differentiation between types of vehicles involved
  • Potential for multiple external cause codes to be applicable
  • Variability in injury severity and associated codes

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Failure to capture all relevant external cause codes
  • Misclassification of the type of vehicle involved
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, type of vehicle, and any pre-existing conditions that may affect treatment.

Common Clinical Scenarios

Patients presenting with trauma after a collision while being a passenger in a heavy transport vehicle, including fractures, lacerations, or concussions.

Billing Considerations

Ensure that all relevant details about the accident are captured in the medical record to support accurate coding.

Trauma Surgery

Documentation Requirements

Trauma assessments must include detailed descriptions of injuries, the mechanism of injury, and any surgical interventions performed.

Common Clinical Scenarios

Trauma patients requiring surgical intervention due to severe injuries from a traffic accident involving a heavy transport vehicle.

Billing Considerations

Consider the potential for multiple injuries and the need for comprehensive coding to reflect the full extent of trauma.

Coding Guidelines

Inclusion Criteria

Use V61.6 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is important to report the external cause code in the secondary position to provide context for the injury diagnosis

Exclusion Criteria

Do NOT use V61.6 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a passenger presents to the emergency department after a traffic accident.

Documentation Requirements

Documentation must include details of the accident, injuries sustained, and treatment provided.

Specialty Considerations

Emergency medicine specialists should ensure that all relevant details are captured for accurate coding.

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 the accuracy of data collection and analysis for traffic-related injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes, improving the accuracy of data collection and analysis for traffic-related injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of external causes, improving the accuracy of data collection and analysis for traffic-related injuries.

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 code V61.6?

Documentation should include details about the accident, such as the type of heavy transport vehicle, the circumstances of the collision with the pedal cycle, and the nature of the injuries sustained by the passenger.