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ICD-10 Guide
ICD-10 CodesV22.91

V22.91

Billable

Unspecified electric (assisted) bicycle rider 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 V22.91 is a billable code used to indicate a diagnosis of unspecified electric (assisted) bicycle rider injured in collision with two- or three-wheeled motor vehicle in traffic accident.

Key Diagnostic Point:

The V22.91 code is used to classify injuries sustained by riders of electric (assisted) bicycles involved in collisions with two- or three-wheeled motor vehicles during traffic accidents. This code captures the external cause of morbidity and mortality related to such incidents, which are increasingly common as the popularity of electric bicycles rises. Riders may experience a range of injuries, from minor abrasions to severe trauma, depending on the speed and nature of the collision. Accurate coding is essential for tracking injury patterns, understanding public health implications, and ensuring appropriate resource allocation for safety measures. Documentation should include details about the circumstances of the accident, the type of vehicles involved, and the nature of the injuries sustained. This code is particularly relevant in urban settings where mixed traffic conditions are prevalent, and it highlights the need for improved safety protocols for vulnerable road users.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation quality regarding the specifics of the accident.
  • Differentiating between types of vehicles involved in the collision.
  • Potential for multiple injuries requiring additional codes.
  • Need for precise details about the electric bicycle's specifications.

Audit Risk Factors

  • Inadequate documentation of the accident circumstances.
  • Failure to specify the type of electric bicycle.
  • Misclassification of the motor vehicle involved.
  • Inconsistent coding of co-existing injuries.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, type of vehicles involved, and any pre-existing conditions that may affect treatment.

Common Clinical Scenarios

Patients presenting with trauma after a collision with a motor vehicle, requiring immediate assessment and intervention.

Billing Considerations

Consideration of the patient's vital signs and potential for internal injuries is crucial.

Trauma Surgery

Documentation Requirements

Detailed trauma assessments, including injury severity scores and surgical interventions performed.

Common Clinical Scenarios

Trauma cases involving significant injuries from collisions, necessitating surgical intervention.

Billing Considerations

Documentation should reflect the mechanism of injury and any complications arising from the accident.

Coding Guidelines

Inclusion Criteria

Use V22.91 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to capture the full context of the injury, including the location and circumstances of the accident

Exclusion Criteria

Do NOT use V22.91 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a patient presents with significant injuries from a collision.

Documentation Requirements

Document the nature of the injuries and the treatment provided.

Specialty Considerations

Emergency medicine specialists should ensure thorough documentation of the patient's condition.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries related to electric bicycles, improving data collection and analysis for public health initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries related to electric bicycles, improving data collection and analysis for public health initiatives.

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 I document to support the use of V22.91?

Document the specifics of the collision, including the type of vehicles involved, the circumstances leading to the accident, and the injuries sustained by the electric bicycle rider.