Pedal cycle rider injured in noncollision transport accident (V18)

The ICD-10 code V18 series identifies injuries to pedal cycle riders sustained in noncollision transport accidents, which covers a range of incidents where cyclists are hurt without colliding with another vehicle.

This section categorizes injuries by the rider’s role (driver, passenger, or unspecified) and whether the accident occurred in traffic or nontraffic situations. For example, codes like V18.0 and its extensions represent injuries to pedal cycle drivers in nontraffic noncollision accidents, whereas V18.4 codes apply when such injuries happen in traffic. The category also includes specific codes for persons boarding or alighting from a pedal cycle (V18.3). The use of seventh characters (such as initial encounter ‘A’, subsequent encounter ‘D’, or sequela ‘S’) indicates the phase of care. Particularly, the unspecified pedal cyclist codes (V18.2XX and V18.9XX) cover varied incidents like falls caused by pedal cycle breakage or wheels catching in tramlines, and also complex motor vehicle-related noncollision accidents involving losing control or being hit by thrown objects without collision. These detailed codes assist healthcare professionals and coders in precisely documenting the nature and context of pedal cycle-related injuries without collisions.

  • External causes of morbidity and mortality (V01–Y99)

    • Pedal cycle rider injured in transport accident (V10-V19)

        • Pedal cycle rider injured in noncollision transport accident (V18)

        • V18 Pedal cycle rider injured in noncollision transport accident
        • V18.0 Pedal cycle driver injured in noncollision transport accident in nontraffic accident
        • V18.0XXA Pedal cycle driver injured in noncollision transport accident in nontraffic accident, initial encounter
        • V18.0XXD Pedal cycle driver injured in noncollision transport accident in nontraffic accident, subsequent encounter
        • V18.0XXS Pedal cycle driver injured in noncollision transport accident in nontraffic accident, sequela
        • V18.1 Pedal cycle passenger injured in noncollision transport accident in nontraffic accident
        • V18.1XXA Pedal cycle passenger injured in noncollision transport accident in nontraffic accident, initial encounter
        • V18.1XXD Pedal cycle passenger injured in noncollision transport accident in nontraffic accident, subsequent encounter
        • V18.1XXS Pedal cycle passenger injured in noncollision transport accident in nontraffic accident, sequela
        • V18.2 Unspecified pedal cyclist injured in noncollision transport accident in nontraffic accident
        • V18.2XXA Unspecified pedal cyclist injured in noncollision transport accident in nontraffic accident, initial encounter
        • V18.2XXD Unspecified pedal cyclist injured in noncollision transport accident in nontraffic accident, subsequent encounter
        • V18.2XXS Unspecified pedal cyclist injured in noncollision transport accident in nontraffic accident, sequela
        • V18.3 Person boarding or alighting a pedal cycle injured in noncollision transport accident
        • V18.3XXA Person boarding or alighting a pedal cycle injured in noncollision transport accident, initial encounter
        • V18.3XXD Person boarding or alighting a pedal cycle injured in noncollision transport accident, subsequent encounter
        • V18.3XXS Person boarding or alighting a pedal cycle injured in noncollision transport accident, sequela
        • V18.4 Pedal cycle driver injured in noncollision transport accident in traffic accident
        • V18.4XXA Pedal cycle driver injured in noncollision transport accident in traffic accident, initial encounter
        • V18.4XXD Pedal cycle driver injured in noncollision transport accident in traffic accident, subsequent encounter
        • V18.4XXS Pedal cycle driver injured in noncollision transport accident in traffic accident, sequela
        • V18.5 Pedal cycle passenger injured in noncollision transport accident in traffic accident
        • V18.5XXA Pedal cycle passenger injured in noncollision transport accident in traffic accident, initial encounter
        • V18.5XXD Pedal cycle passenger injured in noncollision transport accident in traffic accident, subsequent encounter
        • V18.5XXS Pedal cycle passenger injured in noncollision transport accident in traffic accident, sequela
        • V18.9 Unspecified pedal cyclist injured in noncollision transport accident in traffic accident
        • V18.9XXA Unspecified pedal cyclist injured in noncollision transport accident in traffic accident, initial encounter
        • V18.9XXD Unspecified pedal cyclist injured in noncollision transport accident in traffic accident, subsequent encounter
        • V18.9XXS Unspecified pedal cyclist injured in noncollision transport accident in traffic accident, sequela

Instructional Notations

Includes

This note appears immediately under a three character code title to further define, or give examples of, the content of the category.

  • fall or thrown from pedal cycle (without antecedent collision)
  • overturning pedal cycle NOS
  • overturning pedal cycle without collision

7th Character Note

Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.

  • The appropriate 7th character is to be added to each code from category V18

7th Character

Indicates that a seventh character is to be assigned to codes in a subcategory.

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela