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v1.0.0
ICD-10 Guide
ICD-10 CodesV20.3

V20.3

Billable

Person boarding or alighting a motorcycle injured in collision with pedestrian or animal

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

Code Description

ICD-10 V20.3 is a billable code used to indicate a diagnosis of person boarding or alighting a motorcycle injured in collision with pedestrian or animal.

Key Diagnostic Point:

The ICD-10 code V20.3 is used to classify injuries sustained by individuals who are boarding or disembarking from a motorcycle and are subsequently involved in a collision with a pedestrian or an animal. This code is particularly relevant in the context of traffic accidents where the dynamics of motorcycle operation and the vulnerability of both the rider and the pedestrian or animal are critical. The injuries can range from minor abrasions to severe trauma, including fractures, head injuries, and soft tissue damage. Accurate coding is essential for tracking morbidity and mortality associated with such incidents, which can inform public health initiatives aimed at reducing motorcycle-related injuries. Documentation should include details of the incident, the mechanism of injury, and any contributing factors such as road conditions or visibility issues.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact circumstances of the injury (boarding vs. alighting)
  • Differentiating between pedestrian and animal collisions
  • Documenting the mechanism of injury accurately
  • Understanding the context of motorcycle operation

Audit Risk Factors

  • Inadequate documentation of the incident details
  • Misclassification of the type of collision (pedestrian vs. animal)
  • Failure to link to appropriate primary diagnosis codes
  • Inconsistent use of external cause codes across different encounters

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include a detailed account of the incident, including time, place, and circumstances of the injury, as well as any immediate interventions.

Common Clinical Scenarios

Patients presenting with trauma after being struck while boarding or alighting from a motorcycle, often requiring imaging studies and trauma assessments.

Billing Considerations

Consideration of the patient's history, including prior motorcycle accidents or injuries, which may affect treatment and coding.

Trauma Surgery

Documentation Requirements

Trauma registries should capture detailed information about the mechanism of injury, injury severity scores, and surgical interventions performed.

Common Clinical Scenarios

Trauma cases involving significant injuries from motorcycle collisions, often requiring surgical intervention and multidisciplinary care.

Billing Considerations

Documentation must reflect the full extent of injuries and any complications arising from the incident.

Coding Guidelines

Inclusion Criteria

Use V20.3 When
  • According to the ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code to provide a complete picture of the patient's condition
  • It is essential to document the circumstances of the injury clearly and to use the most specific code available

Exclusion Criteria

Do NOT use V20.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used when a patient presents to the emergency department with injuries from a motorcycle collision.

Documentation Requirements

Documentation must include the reason for the visit, examination findings, and treatment provided.

Specialty Considerations

Emergency medicine specialists should ensure that the visit is coded accurately based on the complexity of the case.

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 of injuries, including those related to motorcycle incidents. This specificity aids in better tracking and analysis of injury patterns, which can inform public health policies and safety regulations.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those related to motorcycle incidents. This specificity aids in better tracking and analysis of injury patterns, which can inform public health policies and safety regulations.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those related to motorcycle incidents. This specificity aids in better tracking and analysis of injury patterns, which can inform public health policies and safety regulations.

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 should be documented to support the use of V20.3?

Documentation should include the details of the incident, such as whether the patient was boarding or alighting from the motorcycle, the type of collision (pedestrian or animal), and any contributing factors that may have influenced the accident.