V13.4 — Pedal cycle driver injured in collision with car, pick-up truck or van in traffic accident
V13.4 is a non-billable header ICD-10-CM code for pedal cycle driver injured in collision with car, pick-up truck or van in traffic accident. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to each code from category V13
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
V13.4 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
How V13.4 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to V13.4.
- Accident›transport›pedal cyclist›driver›collision›car(traffic)
- Accident›transport›pedal cyclist›driver›collision›pickup truck(traffic)
- Accident›transport›pedal cyclist›driver›collision›van(traffic)
Code to one of these instead V13.4
3 child codes. Green means billable.
- V13.4XXAPedal cycle driver injured in collision with car, pick-up truck or van in traffic accident, initial encounter
- V13.4XXDPedal cycle driver injured in collision with car, pick-up truck or van in traffic accident, subsequent encounter
- V13.4XXSPedal cycle driver injured in collision with car, pick-up truck or van in traffic accident, sequela
Related codes at this level
Codes that share V13. If V13.4 is not quite right, the correct code is usually one of these.
- V13.0Pedal cycle driver injured in collision with car, pick-up truck or van in nontraffic accident
- V13.1Pedal cycle passenger injured in collision with car, pick-up truck or van in nontraffic accident
- V13.2Unspecified pedal cyclist injured in collision with car, pick-up truck or van in nontraffic accident
- V13.3Person boarding or alighting a pedal cycle injured in collision with car, pick-up truck or van
- V13.5Pedal cycle passenger injured in collision with car, pick-up truck or van in traffic accident
- V13.9Unspecified pedal cyclist injured in collision with car, pick-up truck or van in traffic accident
Questions about V13.4
- Is V13.4 a billable ICD-10-CM code?
- No. V13.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does V13.4 sit in the tabular list?
- External causes of morbidity (V00-Y99), in the block Pedal cycle rider injured in transport accident (V10-V19).