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v1.0.0
ICD-10 Guide
ICD-10 CodesV21.2

V21.2

Billable

Unspecified motorcycle rider injured in collision with pedal cycle in nontraffic accident

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

Code Description

ICD-10 V21.2 is a billable code used to indicate a diagnosis of unspecified motorcycle rider injured in collision with pedal cycle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V21.2 is used to classify injuries sustained by motorcycle riders involved in collisions with pedal cycles that occur outside of traffic scenarios. This code is particularly relevant in cases where the specifics of the accident are not fully documented or where the circumstances do not fit neatly into other defined categories. Nontraffic accidents can occur in various settings, such as private property or recreational areas, and may involve factors such as rider error, mechanical failure, or environmental hazards. Accurate coding is essential for understanding the epidemiology of such injuries, guiding public health interventions, and ensuring appropriate resource allocation for trauma care. Documentation should include details about the nature of the collision, the environment in which it occurred, and any contributing factors to the accident.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in documentation regarding the specifics of the accident.
  • Variability in the definition of 'nontraffic' accidents.
  • Potential overlap with other external cause codes.
  • Need for precise details to differentiate from similar codes.

Audit Risk Factors

  • Inadequate documentation of the accident's circumstances.
  • Misclassification of traffic vs. nontraffic incidents.
  • Failure to specify the type of motorcycle or pedal cycle involved.
  • Lack of detail on the injury mechanism.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly describe the mechanism of injury, location of the accident, and any contributing factors.

Common Clinical Scenarios

Patients presenting with injuries from motorcycle-pedal cycle collisions in parks or private property.

Billing Considerations

Ensure that the documentation specifies that the accident occurred outside of traffic to justify the use of V21.2.

Trauma Surgery

Documentation Requirements

Trauma registries should include detailed descriptions of the injury mechanism and circumstances surrounding the accident.

Common Clinical Scenarios

Trauma cases involving complex injuries from motorcycle collisions with bicycles, often requiring surgical intervention.

Billing Considerations

Accurate coding is crucial for trauma statistics and resource allocation; ensure all details are captured.

Coding Guidelines

Inclusion Criteria

Use V21.2 When
  • According to ICD
  • CM guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to capture the full context of the injury, including the location and circumstances of the accident

Exclusion Criteria

Do NOT use V21.2 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 rider presents to the emergency department after a collision with a pedal cycle.

Documentation Requirements

Document the nature of the injury, treatment provided, and any follow-up care.

Specialty Considerations

Emergency medicine providers 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, improving data collection and analysis for public health initiatives related to motorcycle accidents.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data collection and analysis for public health initiatives related to motorcycle accidents.

Reimbursement & Billing Impact

reimbursement.

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 use V21.2 accurately?

Documentation should include the specifics of the accident, such as the location, circumstances, and any contributing factors to the collision. This ensures that the code is applied correctly and reflects the nature of the injury.