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v1.0.0
ICD-10 Guide
ICD-10 CodesV22.5

V22.5

Billable

Motorcycle passenger injured in collision with two- or three-wheeled motor vehicle in traffic accident

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

Code Description

ICD-10 V22.5 is a billable code used to indicate a diagnosis of motorcycle passenger injured in collision with two- or three-wheeled motor vehicle in traffic accident.

Key Diagnostic Point:

V22.5 is used to classify injuries sustained by passengers on motorcycles involved in collisions with other two- or three-wheeled motor vehicles during traffic accidents. This code is crucial for capturing the external cause of morbidity and mortality related to motorcycle accidents, which are often severe due to the lack of protective barriers. Clinical scenarios may include a passenger on a motorcycle who suffers injuries such as fractures, lacerations, or traumatic brain injuries as a result of a collision. Accurate coding of this incident is essential for public health data collection, insurance reimbursement, and understanding the epidemiology of motorcycle-related injuries. Documentation should include details about the nature of the collision, the type of vehicles involved, and the specific injuries sustained to ensure proper coding and analysis of trends in motorcycle safety.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident details
  • Differentiation between types of vehicles involved
  • Variability in injury severity and types
  • Potential for multiple external cause codes to be applicable

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Misclassification of the type of vehicle involved
  • Failure to capture all relevant external cause codes
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, type of motorcycle, and passenger details.

Common Clinical Scenarios

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

Billing Considerations

Consideration of helmet use and protective gear, which may influence injury severity.

Trauma Surgery

Documentation Requirements

Detailed trauma assessments and surgical notes are required to capture the extent of injuries.

Common Clinical Scenarios

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

Billing Considerations

Documentation should reflect the mechanism of injury and any pre-existing conditions that may affect recovery.

Coding Guidelines

Inclusion Criteria

Use V22.5 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be reported in conjunction with the corresponding injury codes
  • It is essential to capture the sequence of events leading to the injury, including the location and circumstances of the accident

Exclusion Criteria

Do NOT use V22.5 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 passenger presents with severe injuries.

Documentation Requirements

Documentation must reflect the severity of the condition and the complexity of care provided.

Specialty Considerations

Emergency medicine specialists should ensure that all relevant injuries are documented.

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 facilitating better public health responses.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of motorcycle-related injuries, improving data accuracy and facilitating better public health responses.

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 V22.5?

Documentation should include the specifics of the motorcycle accident, including the type of vehicles involved, the circumstances of the collision, and the injuries sustained by the passenger.