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ICD-10 Guide
ICD-10 CodesV21.99

V21.99

Billable

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

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

Code Description

ICD-10 V21.99 is a billable code used to indicate a diagnosis of unspecified rider of other motorcycle injured in collision with pedal cycle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V21.99 is used to classify injuries sustained by riders of motorcycles involved in collisions with pedal cycles during traffic accidents. This code is particularly relevant in cases where the specifics of the motorcycle type are not documented, and it captures a broad category of motorcycle riders who may be involved in such incidents. The code is essential for tracking the incidence of motorcycle-related injuries, which can inform public health initiatives aimed at reducing traffic accidents and improving road safety. Accurate coding is crucial for understanding the epidemiology of these injuries, which can vary significantly based on factors such as location, time of day, and rider behavior. Documentation should include details about the circumstances of the accident, the type of motorcycle involved, and the nature of the injuries sustained to ensure proper coding and analysis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation quality regarding motorcycle type.
  • Need for precise details about the accident circumstances.
  • Potential for misclassification if the motorcycle type is not specified.
  • Variability in injury severity and outcomes that may affect coding.

Audit Risk Factors

  • Inadequate documentation of the accident details.
  • Failure to specify the motorcycle type leading to potential misclassification.
  • Inconsistent coding practices among different coders.
  • Lack of clarity on the nature of injuries sustained.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, type of motorcycle, and any immediate interventions performed.

Common Clinical Scenarios

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

Billing Considerations

Ensure that all relevant details about the accident are captured to support accurate coding and billing.

Trauma Surgery

Documentation Requirements

Comprehensive trauma assessments should include details of the collision, injury patterns, and surgical interventions if applicable.

Common Clinical Scenarios

Trauma cases involving complex injuries from motorcycle collisions requiring surgical intervention.

Billing Considerations

Accurate documentation of injury mechanisms is critical for coding and understanding injury patterns.

Coding Guidelines

Inclusion Criteria

Use V21.99 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is important to document the circumstances of the injury, including the type of vehicle involved and the nature of the collision

Exclusion Criteria

Do NOT use V21.99 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a motorcycle rider presents with severe injuries from a collision.

Documentation Requirements

Detailed documentation of the patient's condition and treatment provided.

Specialty Considerations

Emergency medicine specialists should ensure that the visit level reflects 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 detailed coding of external causes of injuries, improving data collection and analysis for public health initiatives aimed at reducing motorcycle-related accidents.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, improving data collection and analysis for public health initiatives aimed at reducing motorcycle-related 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 V21.99?

Documentation should include details about the motorcycle type, the circumstances of the collision, and the nature of the injuries sustained. This information is crucial for accurate coding and analysis.