Table 2

Recommended diagnostic codes for selected cycling-related health problems

ConditionBroad classification*SMDCS-V2 codeOSIICS-13 code
Lateral hand numbness/ulnar neuropathy (‘handlebar palsy’)Injury/wrist/nervous system/nerve injury/gradual onset, repetitiveUlnar nerve entrapment (Tunnel of Guyon), WR.22.39Wrist ulnar nerve injury, WNU
Numbness of the genitals or perineum/pudendal neuropathy/male or female sexual or urinary dysfunctionInjury/lumbosacral spine/nerve injury/gradual onset, repetitivePudendal nerve injury, LS.23.39Pudendal nerve injury, LNP
Exercise-related iliac artery flow limitationInjury/hip-groin/vessels/vascular trauma/gradual onset, repetitiveExercise-related iliac artery flow limitation, HI.73.45Exercise-related iliac artery flow limitation, GVI
Saddle sores (skin ailments on the buttocks, groin, inner thigh or genitals, related to contact with the bicycle saddle)Illness/dermatological system/infection/gradual onsetCellulitis/folliculitis, DE.06.75Skin infection pelvis/buttock – including ischial abscess, MDIB
Stump lesions among cyclists with amputationsInjury/(specific body area)/stump/stump injury/(gradual or sudden onset, acute or repetitive)See condition-specific codes: XX.91.00Stump trauma, region-specific codes: UWS, QWS, TWS, EWS, RWS and KWS.
  • *Based on the IOC consensus categories. Injuries: body area/tissue type/pathology type/mode of onset; Illnesses: medical system/aetiology/mode of onset.

  • EWS, stump trauma elbow; KWS, stump trauma knee; QWS, stump trauma lower limb; RWS, stump trauma forearm; TWS, stump trauma thigh; UWS, stump trauma upper arm.