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v1.0.0
ICD-10 Guide
ICD-10 CodesV28.1

V28.1

Billable

Motorcycle passenger injured in noncollision transport accident in nontraffic accident

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 V28.1 is a billable code used to indicate a diagnosis of motorcycle passenger injured in noncollision transport accident in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V28.1 is used to classify injuries sustained by a motorcycle passenger involved in a noncollision transport accident that occurs outside of traffic scenarios. This includes incidents such as falls from motorcycles while stationary or during maneuvers that do not involve other vehicles. The code captures the external cause of morbidity and mortality related to motorcycle use, emphasizing the importance of understanding the context of the injury. Accurate coding is essential for public health data collection, resource allocation, and injury prevention strategies. It is crucial for healthcare providers to document the circumstances surrounding the incident, including the environment and activities leading to the injury, to ensure proper coding and analysis of trends in motorcycle-related injuries.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between collision and noncollision incidents
  • Understanding the context of nontraffic accidents
  • Accurate documentation of the passenger's role and circumstances
  • Potential overlap with other external cause codes

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Misclassification of the type of accident (collision vs. noncollision)
  • Failure to capture the passenger's role accurately
  • Inconsistent coding practices across providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include detailed descriptions of the incident, including the mechanism of injury and any contributing factors.

Common Clinical Scenarios

Patients presenting with injuries from falls while riding as a passenger on a motorcycle, particularly in nontraffic situations.

Billing Considerations

Emergency providers should ensure that the context of the injury is clearly documented to support accurate coding.

Trauma Surgery

Documentation Requirements

Trauma documentation must include a comprehensive account of the injury mechanism, patient history, and any pre-existing conditions.

Common Clinical Scenarios

Trauma cases involving motorcycle passengers who have sustained injuries from falls or other noncollision events.

Billing Considerations

Trauma surgeons should be aware of the specific coding requirements for external causes to ensure proper billing and data reporting.

Coding Guidelines

Inclusion Criteria

Use V28.1 When
  • According to the ICD
  • CM Official Guidelines for Coding and Reporting, external cause codes should be used in conjunction with the appropriate injury codes
  • It is essential to report the external cause code in the secondary position to the injury code to provide context for the injury

Exclusion Criteria

Do NOT use V28.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used when a motorcycle passenger presents to the emergency department with injuries from a noncollision accident.

Documentation Requirements

Documentation must include the nature of the injuries and the circumstances of the accident.

Specialty Considerations

Emergency medicine providers should ensure that the external cause code is linked to the visit.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of external causes, improving the ability to track and analyze motorcycle-related injuries. V28.1 provides a distinct classification for noncollision incidents, enhancing data accuracy for public health initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving the ability to track and analyze motorcycle-related injuries. V28.1 provides a distinct classification for noncollision incidents, enhancing data accuracy for public health initiatives.

Reimbursement & Billing Impact

reimbursement and data integrity.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What types of incidents does V28.1 cover?

V28.1 covers injuries sustained by motorcycle passengers in noncollision transport accidents, such as falls or loss of balance while riding, that do not involve other vehicles.