V13.3XXD Person boarding or alighting a pedal cycle injured in collision with car, pick-up truck or van, subsequent encounter

ICD10CM code

#### Name of the Condition
- **Common Name:** Bicycle Accident Involving Car, Subsequent Encounter
- **ICD-10 Code:** V13.3XXD

#### Summary
A subsequent encounter refers to a patient being treated after the initial incident. This code applies specifically to injuries sustained when a person was getting on or off a bicycle and collided with a car, pick-up truck, or van. Such incidents can result in various injuries requiring medical attention.

#### Causes
- Accidents typically occur due to collisions on roads shared by both bicycles and vehicles.
- Factors such as lack of visibility, traffic violations, or driver error can contribute to these accidents.
  
#### Risk Factors
- Cycling on busy roads or in high-traffic areas increases risk.
- Lack of protective gear such as helmets.
- Poor road or weather conditions.

#### Symptoms
- Injuries can range from minor bruises and cuts to fractures, head injuries, and internal injuries.
- Symptoms based on the injury could include pain, swelling, dizziness, or loss of consciousness.

#### Diagnosis
- Clinical evaluation based on presenting symptoms and history of the collision.
- Imaging such as X-rays, CT scans, or MRIs to assess injuries.

#### Treatment Options
- **Medications:** Pain relievers and anti-inflammatory drugs.
- **Therapy:** Physical rehabilitation for mobility and strength recovery.
- **Surgical Procedures:** May be necessary for fractures or serious injuries.
- **Wound Care:** For cuts or abrasions.

#### Prognosis and Follow-Up
- Recovery depends on the severity of injuries; minor injuries may heal quickly, while severe ones require rehabilitation.
- Regular follow-up appointments are essential to monitor recovery and to adjust treatments as necessary.

#### Complications
- Potential for chronic pain or permanent disability if untreated.
- Psychological effects such as anxiety or PTSD from the incident.

#### Lifestyle & Prevention
- Wearing helmets and protective gear can reduce the severity of injuries.
- Awareness and adherence to traffic rules by both cyclists and drivers.

#### When to Seek Professional Help
- Immediate help is necessary for severe injuries or head trauma.
- If symptoms worsen over time or recovery stalls, further medical evaluation is needed.

#### Additional Resources
- **National Highway Traffic Safety Administration (NHTSA)**
- **League of American Bicyclists**

#### Tips for Medical Coders
- Ensure the encounter is coded as subsequent using the "D" in V13.3XXD.
- Verify that all injury codes are included and documented appropriately.
- Avoid miscoding as an initial encounter unless clearly indicated in the medical records.

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