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ICD-10 Guide
ICD-10 CodesV21.59

V21.59

Billable

Other motorcycle passenger injured in collision with pedal cycle in traffic accident

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

Code Description

ICD-10 V21.59 is a billable code used to indicate a diagnosis of other motorcycle passenger injured in collision with pedal cycle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V21.59 is used to classify injuries sustained by passengers on motorcycles involved in collisions with pedal cycles during traffic accidents. This code captures the external cause of morbidity and mortality related to such incidents, which can range from minor injuries to severe trauma. The clinical context often involves a motorcycle passenger who may suffer from a variety of injuries, including fractures, lacerations, or concussions, depending on the severity of the collision and the protective gear worn. Accurate coding is essential for tracking injury patterns, facilitating public health research, and ensuring appropriate resource allocation for trauma care. This code is particularly relevant in urban settings where both motorcycles and bicycles are prevalent, and understanding the dynamics of these collisions can inform safety measures and policy decisions aimed at reducing traffic-related injuries.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the specific circumstances of the collision
  • Differentiating between types of injuries sustained
  • Identifying the role of the motorcycle passenger versus the cyclist
  • Ensuring accurate documentation of the accident scene

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Misclassification of the type of vehicle involved
  • Failure to specify the role of the injured party
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, the patient's condition upon arrival, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with trauma from motorcycle accidents, including fractures, head injuries, and soft tissue injuries.

Billing Considerations

Emergency physicians should ensure that the narrative in the medical record clearly describes the circumstances of the accident to support accurate coding.

Trauma Surgery

Documentation Requirements

Trauma surgeons need detailed documentation of the injuries sustained, surgical interventions, and the patient's response to treatment.

Common Clinical Scenarios

Trauma cases involving multiple injuries from motorcycle collisions, requiring surgical intervention.

Billing Considerations

Trauma documentation should include specifics about the collision, including speed, protective gear, and any pre-existing conditions that may affect recovery.

Coding Guidelines

Inclusion Criteria

Use V21.59 When
  • According to the ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is essential to report the external cause code to provide context for the injury and to follow the guidelines for sequencing these codes correctly

Exclusion Criteria

Do NOT use V21.59 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used for an emergency visit for a motorcycle passenger with injuries from a collision.

Documentation Requirements

Document the patient's condition, treatment provided, and any referrals made.

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, improving data accuracy and enabling better tracking of injury patterns related to motorcycle accidents.

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 enabling better tracking of injury patterns 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 support the use of V21.59?

Documentation should include details about the accident, the role of the motorcycle passenger, the type of injuries sustained, and any treatments provided. Clear narratives in the medical record are essential for accurate coding.