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v1.0.0
ICD-10 Guide
ICD-10 CodesV61.7

V61.7

Billable

Person on outside 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 V61.7 is a billable code used to indicate a diagnosis of person on outside of heavy transport vehicle injured in collision with pedal cycle in traffic accident.

Key Diagnostic Point:

This external cause code V61.7 is utilized to classify injuries sustained by individuals who are outside of heavy transport vehicles, such as buses or trucks, during a collision with a pedal cycle in a traffic accident. This scenario typically involves a cyclist being struck by a heavy vehicle, which can lead to severe injuries due to the size and weight differential between the two. The code is essential for capturing the context of the injury, which aids in understanding traffic safety issues and the effectiveness of public health interventions aimed at reducing such incidents. Accurate coding of this nature is crucial for epidemiological studies, resource allocation, and the development of safety regulations. It is important for coders to ensure that the circumstances of the accident are well-documented to support the use of this specific code.

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 injuries requiring additional codes
  • Variability in local traffic laws affecting coding

Audit Risk Factors

  • Inadequate documentation of the accident scene
  • Failure to specify the type of heavy transport vehicle
  • Misclassification of the cyclist's role in the accident
  • Omission of additional injury codes that may be relevant

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must clearly describe the mechanism of injury, including details about the vehicle and cyclist.

Common Clinical Scenarios

A cyclist presents to the emergency department after being struck by a bus, requiring assessment of injuries and coding for the incident.

Billing Considerations

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

Trauma Surgery

Documentation Requirements

Trauma documentation must include a detailed account of the injury mechanism, patient demographics, and injury severity.

Common Clinical Scenarios

A trauma patient is admitted after a collision with a heavy vehicle, necessitating surgical intervention for severe injuries.

Billing Considerations

Trauma surgeons should collaborate with coders to ensure that all injuries are coded accurately, reflecting the complexity of the case.

Coding Guidelines

Inclusion Criteria

Use V61.7 When
  • According to the ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • Coders must ensure that the external cause code is sequenced correctly, typically following the injury code
  • Documentation must support the use of this code, detailing the circumstances of the accident

Exclusion Criteria

Do NOT use V61.7 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a cyclist presents to the ED with severe injuries after a collision.

Documentation Requirements

Documentation must support the severity of the visit and the injuries sustained.

Specialty Considerations

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

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 and enhancing public health research capabilities.

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 and enhancing public health research capabilities.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of external causes, improving data accuracy for traffic-related injuries and enhancing public health research capabilities.

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 V61.7?

Use code V61.7 when documenting injuries sustained by a person outside of a heavy transport vehicle involved in a collision with a pedal cycle in a traffic accident. Ensure that the circumstances of the accident are well-documented.