V19.3 — Pedal cyclist (driver) (passenger) injured in unspecified nontraffic accident
V19.3 is a non-billable header ICD-10-CM code for pedal cyclist (driver) (passenger) injured in unspecified nontraffic 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 V19
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Pedal cycle accident NOS, nontraffic
- Pedal cyclist injured in nontraffic accident NOS
Risk adjustment
V19.3 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 V19.3 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 V19.3.
- Accident›transport›pedal cyclist›nontraffic
Code to one of these instead V19.3
3 child codes. Green means billable.
- V19.3XXAPedal cyclist (driver) (passenger) injured in unspecified nontraffic accident, initial encounter
- V19.3XXDPedal cyclist (driver) (passenger) injured in unspecified nontraffic accident, subsequent encounter
- V19.3XXSPedal cyclist (driver) (passenger) injured in unspecified nontraffic accident, sequela
Related codes at this level
Codes that share V19. If V19.3 is not quite right, the correct code is usually one of these.
- V19.0Pedal cycle driver injured in collision with other and unspecified motor vehicles in nontraffic accident
- V19.1Pedal cycle passenger injured in collision with other and unspecified motor vehicles in nontraffic accident
- V19.2Unspecified pedal cyclist injured in collision with other and unspecified motor vehicles in nontraffic accident
- V19.4Pedal cycle driver injured in collision with other and unspecified motor vehicles in traffic accident
- V19.5Pedal cycle passenger injured in collision with other and unspecified motor vehicles in traffic accident
- V19.6Unspecified pedal cyclist injured in collision with other and unspecified motor vehicles in traffic accident
- V19.8Pedal cyclist (driver) (passenger) injured in other specified transport accidents
- V19.9Pedal cyclist (driver) (passenger) injured in unspecified traffic accident
Questions about V19.3
- Is V19.3 a billable ICD-10-CM code?
- No. V19.3 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does V19.3 sit in the tabular list?
- External causes of morbidity (V00-Y99), in the block Pedal cycle rider injured in transport accident (V10-V19).