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v1.0.0
ICD-10 Guide
ICD-10 CodesV20.91

V20.91

Billable

Unspecified electric (assisted) bicycle rider injured in collision with pedestrian or animal in traffic accident

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

Code Description

ICD-10 V20.91 is a billable code used to indicate a diagnosis of unspecified electric (assisted) bicycle rider injured in collision with pedestrian or animal in traffic accident.

Key Diagnostic Point:

The code V20.91 is used to classify injuries sustained by riders of electric (assisted) bicycles who are involved in collisions with pedestrians or animals during traffic accidents. This code is essential for capturing the external causes of morbidity and mortality related to traffic incidents involving electric bicycles, which have become increasingly popular. The clinical context for this code includes various scenarios where an electric bicycle rider may collide with a pedestrian or an animal, leading to injuries that can range from minor to severe. Accurate coding is crucial for public health data collection, resource allocation, and understanding the epidemiology of traffic-related injuries. Documentation should include details about the circumstances of the accident, the nature of the injuries sustained, and any contributing factors such as road conditions or visibility. This code is particularly relevant in urban settings where electric bicycles are commonly used and where pedestrian traffic is high.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation quality regarding the specifics of the accident.
  • Need for precise identification of the type of electric bicycle involved.
  • Differentiation between injuries caused by collisions with pedestrians versus animals.
  • Potential overlap with other external cause codes for traffic accidents.

Audit Risk Factors

  • Inadequate documentation of the accident circumstances.
  • Misclassification of the type of vehicle involved.
  • Failure to specify the nature of the injuries sustained.
  • Inconsistent coding practices among different coders.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, including details of the collision, patient presentation, and any immediate interventions.

Common Clinical Scenarios

Patients presenting with fractures, lacerations, or contusions following a collision with a pedestrian or animal.

Billing Considerations

Ensure that the documentation reflects the specifics of the electric bicycle and the circumstances of the accident to support accurate coding.

Trauma Surgery

Documentation Requirements

Trauma notes must include a detailed account of the injury mechanism, injury severity, and any surgical interventions performed.

Common Clinical Scenarios

Severe injuries requiring surgical intervention, such as orthopedic repairs or soft tissue reconstruction following a collision.

Billing Considerations

Consider the potential for multiple injuries and the need for comprehensive coding to capture all relevant external causes.

Coding Guidelines

Inclusion Criteria

Use V20.91 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is important to capture the sequence of events leading to the injury, including the location and circumstances of the accident

Exclusion Criteria

Do NOT use V20.91 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

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

Documentation Requirements

Documentation must support the level of service, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine specialists should ensure that the mechanism of injury is clearly documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries related to electric bicycles, improving data accuracy and enabling better tracking of trends in traffic-related injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries related to electric bicycles, improving data accuracy and enabling better tracking of trends in traffic-related injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries related to electric bicycles, improving data accuracy and enabling better tracking of trends in traffic-related injuries.

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 V20.91?

Documentation should include details about the accident, such as the type of electric bicycle, the nature of the collision, the injuries sustained, and any contributing factors like road conditions or visibility.