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v1.0.0
ICD-10 Guide
ICD-10 CodesV21.29

V21.29

Billable

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

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

Code Description

ICD-10 V21.29 is a billable code used to indicate a diagnosis of unspecified rider of other motorcycle injured in collision with pedal cycle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V21.29 is used to classify injuries sustained by an unspecified rider of a motorcycle involved in a collision with a pedal cycle during a nontraffic accident. This code is particularly relevant in scenarios where the motorcycle rider is injured outside of typical road traffic situations, such as in private property incidents or during recreational activities. Accurate coding requires detailed documentation of the circumstances surrounding the accident, including the location, type of motorcycle, and nature of the injuries sustained. This code is essential for tracking injury patterns and understanding the epidemiology of motorcycle-related injuries, which can inform public health initiatives aimed at reducing such incidents.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in documentation regarding the type of motorcycle involved.
  • Variability in defining what constitutes a nontraffic accident.
  • Need for precise details about the collision circumstances.
  • Potential overlap with other external cause codes.

Audit Risk Factors

  • Insufficient documentation of the accident's circumstances.
  • Misclassification of the accident type (traffic vs. nontraffic).
  • Failure to specify the type of motorcycle involved.
  • Inconsistent coding practices across different providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, location of the accident, and any relevant patient history.

Common Clinical Scenarios

Patients presenting with injuries from motorcycle-pedal cycle collisions, often requiring immediate assessment and intervention.

Billing Considerations

Emergency physicians should ensure that all details of the incident are captured to support accurate coding.

Trauma Surgery

Documentation Requirements

Trauma surgeons need to document the specifics of the injury, including the type of motorcycle and the nature of the collision.

Common Clinical Scenarios

Trauma cases involving complex injuries from motorcycle accidents, often requiring surgical intervention.

Billing Considerations

Accurate coding is crucial for trauma registries and for understanding injury patterns in the population.

Coding Guidelines

Inclusion Criteria

Use V21.29 When
  • Coders should refer to the official ICD
  • CM coding guidelines, ensuring that the external cause code is used in conjunction with the appropriate injury codes
  • The circumstances of the accident must be clearly documented to justify the use of V21

Exclusion Criteria

Do NOT use V21.29 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-pedal cycle 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 visit is well-documented to support the coding.

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 motorcycle-related incidents. This specificity aids in better tracking and analysis of injury patterns.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including motorcycle-related incidents. This specificity aids in better tracking and analysis of injury patterns.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including motorcycle-related incidents. This specificity aids in better tracking and analysis of injury patterns.

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 V21.29 accurately?

Documentation should include the specifics of the accident, such as the type of motorcycle, the circumstances of the collision, and the nature of the injuries sustained. Clear details help avoid misclassification and ensure accurate coding.