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ICD-10 Guide
ICD-10 CodesV23.31

V23.31

Billable

Person boarding or alighting an electric (assisted) bicycle injured in collision with car, pick-up truck or van

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

Code Description

ICD-10 V23.31 is a billable code used to indicate a diagnosis of person boarding or alighting an electric (assisted) bicycle injured in collision with car, pick-up truck or van.

Key Diagnostic Point:

The V23.31 code is used to classify injuries sustained by individuals who are boarding or alighting from an electric (assisted) bicycle and are involved in a collision with a motor vehicle, specifically a car, pick-up truck, or van. 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. The injuries can range from minor abrasions to severe trauma, including fractures and head injuries, depending on the speed of the vehicles involved and the circumstances of the collision. Accurate coding is essential for tracking injury patterns, guiding public health interventions, and informing policy decisions regarding road safety and infrastructure improvements. Documentation should include details about the circumstances of the incident, the type of vehicles involved, and the specific injuries sustained to ensure proper coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the incident circumstances
  • Differentiation between types of bicycles and vehicles involved
  • Potential for multiple injuries requiring additional codes
  • Variability in state laws regarding electric bicycles

Audit Risk Factors

  • Inadequate documentation of the incident details
  • Misclassification of the type of bicycle or vehicle
  • Failure to capture all injuries sustained
  • Inconsistent coding practices across providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, including the type of bicycle and vehicle involved, as well as the patient's condition upon arrival.

Common Clinical Scenarios

Patients presenting with trauma after being struck while boarding or alighting from an electric bicycle.

Billing Considerations

Consideration of the patient's history, including any pre-existing conditions that may affect recovery.

Trauma Surgery

Documentation Requirements

Detailed operative reports and injury assessments must include descriptions of the injuries and the mechanism of injury.

Common Clinical Scenarios

Trauma cases involving multiple injuries from a collision, requiring surgical intervention.

Billing Considerations

Assessment of potential long-term complications from injuries sustained in the collision.

Coding Guidelines

Inclusion Criteria

Use V23.31 When
  • According to ICD
  • CM guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • The external cause code should be reported in the secondary position to the injury code
  • It is important to capture the full context of the incident, including the location and activity at the time of injury

Exclusion Criteria

Do NOT use V23.31 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used when a patient presents to the emergency department after a collision.

Documentation Requirements

Documentation must support the level of service provided, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine providers 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 external causes of injuries, including those related to electric bicycles. This specificity aids in better tracking of injury patterns and informs public health initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those related to electric bicycles. This specificity aids in better tracking of injury patterns and informs 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 be documented to use V23.31?

Documentation should include the type of electric bicycle, the circumstances of boarding or alighting, the type of vehicle involved in the collision, and the specific injuries sustained.