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ICD-10 Guide
ICD-10 CodesChapter 20: External causes of morbidityV22

V22

Billable

Motorcycle rider injured in collision with two- or three-wheeled motor vehicle

Chapter 20:External causes of morbidity

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

Code Description

ICD-10 V22 is a billable code used to indicate a diagnosis of motorcycle rider injured in collision with two- or three-wheeled motor vehicle.

Key Diagnostic Point:

The V22 code is used to classify injuries sustained by motorcycle riders involved in collisions with other two- or three-wheeled motor vehicles. This code captures the external cause of morbidity and mortality related to motorcycle accidents, which are significant contributors to trauma cases in emergency and trauma settings. Motorcycle collisions can result in a variety of injuries, including fractures, head trauma, and soft tissue injuries, often exacerbated by the lack of protective barriers compared to enclosed vehicles. Accurate coding of these incidents is crucial for understanding injury patterns, resource allocation, and public health interventions aimed at reducing motorcycle-related injuries. Documentation should include details about the circumstances of the collision, the type of vehicles 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 injury severity and types of injuries sustained.
  • Need for detailed documentation of the collision circumstances.
  • Potential for multiple external cause codes to be applicable.
  • Differentiation between types of two- or three-wheeled vehicles.

Audit Risk Factors

  • Inadequate documentation of the circumstances surrounding the collision.
  • Failure to capture all relevant external cause codes.
  • Misclassification of the type of vehicle involved.
  • Inconsistent reporting of injury severity.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, type of vehicles involved, and any protective gear worn by the motorcycle rider.

Common Clinical Scenarios

Motorcycle riders presenting with traumatic injuries after a collision with another motorcycle or a scooter.

Billing Considerations

Ensure that all injuries are documented, including secondary injuries that may arise from the collision.

Trauma Surgery

Documentation Requirements

Trauma surgeons should document the extent of injuries, surgical interventions performed, and the mechanism of injury in detail.

Common Clinical Scenarios

Trauma cases involving motorcycle riders with multiple fractures or severe head injuries.

Billing Considerations

Consider the need for additional codes to capture complications or secondary injuries.

Coding Guidelines

Inclusion Criteria

Use V22 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to report the external cause code to provide context for the injury and to capture the circumstances surrounding the event

Exclusion Criteria

Do NOT use V22 When
No specific exclusions found.

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used for emergency visits related to motorcycle collisions.

Documentation Requirements

Document the nature of the injury and treatment provided.

Specialty Considerations

Emergency medicine specialists should ensure thorough documentation of the mechanism of injury.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of motorcycle-related injuries, improving data accuracy and enabling better tracking of injury patterns and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of motorcycle-related injuries, improving data accuracy and enabling better tracking of injury patterns and outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of motorcycle-related injuries, improving data accuracy and enabling better tracking of injury patterns and outcomes.

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

When should I use V22?

Use V22 when coding for injuries sustained by a motorcycle rider involved in a collision with another two- or three-wheeled motor vehicle. Ensure that the documentation supports the circumstances of the collision.