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v1.0.0
ICD-10 Guide
ICD-10 CodesV21.09

V21.09

Billable

Other motorcycle driver injured in collision with pedal cycle in nontraffic accident

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

Code Description

ICD-10 V21.09 is a billable code used to indicate a diagnosis of other motorcycle driver injured in collision with pedal cycle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V21.09 is used to classify injuries sustained by motorcycle drivers involved in collisions with pedal cycles that occur outside of traffic scenarios. This code is particularly relevant in cases where the accident takes place in non-public areas, such as private property or during recreational activities. The injuries can range from minor abrasions to severe trauma, depending on the nature of the collision and the protective gear worn by the motorcycle driver. Accurate coding is essential for tracking injury patterns, understanding the epidemiology of motorcycle-related injuries, and facilitating appropriate public health interventions. Documentation should include details about the circumstances of the accident, the type of motorcycle involved, and the extent of injuries sustained to ensure proper coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact nature of the accident (nontraffic vs. traffic)
  • Differentiating between types of injuries sustained
  • Understanding the context of the collision (private property vs. public space)
  • Accurate documentation of the motorcycle and pedal cycle involved

Audit Risk Factors

  • Inadequate documentation of the accident's circumstances
  • Misclassification of traffic vs. nontraffic accidents
  • Failure to specify the type of motorcycle or pedal cycle involved
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly outline the mechanism of injury, including details of the collision and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with lacerations, fractures, or contusions following a motorcycle-pedal cycle collision.

Billing Considerations

Ensure that the documentation reflects the nontraffic nature of the accident to avoid misclassification.

Trauma Surgery

Documentation Requirements

Trauma registries should include detailed descriptions of the injury patterns and the circumstances surrounding the collision.

Common Clinical Scenarios

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

Billing Considerations

Accurate coding is critical for trauma data analysis and resource allocation.

Coding Guidelines

Inclusion Criteria

Use V21.09 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the external cause codes are sequenced correctly and that all relevant details of the incident are documented
  • Use V21
  • 09 when the motorcycle driver is injured in a nontraffic collision with a pedal cycle

Exclusion Criteria

Do NOT use V21.09 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, level 3

Clinical Scenario

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

Documentation Requirements

Document the patient's history, examination findings, and treatment provided.

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 external causes of injuries, improving data accuracy and facilitating better public health tracking and intervention strategies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy and facilitating better public health tracking and intervention strategies.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy and facilitating better public health tracking and intervention strategies.

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 is the difference between V21.09 and V21.08?

V21.09 is used for nontraffic accidents involving motorcycle drivers and pedal cycles, while V21.08 is for traffic-related incidents. Accurate documentation of the accident's context is essential for correct coding.