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v1.0.0
ICD-10 Guide
ICD-10 CodesV23.91

V23.91

Billable

Unspecified electric (assisted) bicycle rider injured in collision with car, pick-up truck or van in traffic accident

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

Code Description

ICD-10 V23.91 is a billable code used to indicate a diagnosis of unspecified electric (assisted) bicycle rider injured in collision with car, pick-up truck or van in traffic accident.

Key Diagnostic Point:

The V23.91 code is used to classify injuries sustained by riders of electric (assisted) bicycles involved in collisions with motor vehicles such as cars, pick-up trucks, or vans during traffic accidents. This code is essential for capturing the external cause of morbidity and mortality related to traffic incidents involving electric bicycles, which have gained popularity in urban areas. Accurate coding is crucial for public health data collection, resource allocation, and understanding the epidemiology of traffic-related injuries. The code is particularly relevant as electric bicycles can travel at higher speeds than traditional bicycles, potentially leading to more severe injuries in the event of a collision. Documentation should include details about the circumstances of the accident, the type of vehicle involved, and the nature of the injuries sustained to ensure proper coding and analysis of trends in electric bicycle-related accidents.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation quality regarding the type of vehicle involved.
  • Ambiguity in defining 'electric bicycle' versus traditional bicycles.
  • Need for precise details about the accident circumstances.
  • Potential overlap with other external cause codes.

Audit Risk Factors

  • Inadequate documentation of the accident details.
  • Misclassification of the type of bicycle (electric vs. non-electric).
  • Failure to capture the specific vehicle involved in the collision.
  • Inconsistent coding practices among different coders.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, type of vehicle involved, and any relevant witness statements.

Common Clinical Scenarios

Patients presenting with fractures, lacerations, or head injuries following a collision with a motor vehicle.

Billing Considerations

Ensure that the mechanism of injury is clearly articulated to support the use of V23.91.

Trauma Surgery

Documentation Requirements

Trauma registries should include detailed descriptions of the accident, injury severity scores, and treatment provided.

Common Clinical Scenarios

Severe injuries requiring surgical intervention, such as pelvic fractures or traumatic brain injuries.

Billing Considerations

Accurate coding is critical for trauma outcomes analysis and resource allocation.

Coding Guidelines

Inclusion Criteria

Use V23.91 When
  • Follow the ICD
  • CM coding guidelines for external causes of morbidity
  • Ensure that the code is used in conjunction with the appropriate injury codes to provide a complete picture of the patient's condition
  • The external cause code should be sequenced after the injury code

Exclusion Criteria

Do NOT use V23.91 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when an electric bicycle rider presents to the ED with significant injuries.

Documentation Requirements

Document the nature of the injuries, treatment provided, and any consultations.

Specialty Considerations

Emergency medicine specialists should ensure thorough documentation to support the visit level.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

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

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

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

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 V23.91?

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