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v1.0.0
ICD-10 Guide
ICD-10 CodesV26.0

V26.0

Billable

Motorcycle driver injured in collision with other nonmotor vehicle in nontraffic accident

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

Code Description

ICD-10 V26.0 is a billable code used to indicate a diagnosis of motorcycle driver injured in collision with other nonmotor vehicle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V26.0 is used to classify injuries sustained by motorcycle drivers involved in collisions with nonmotor vehicles during nontraffic accidents. This includes incidents occurring in private property settings, such as parking lots or driveways, where the motorcycle driver collides with bicycles, pedestrians, or other nonmotorized vehicles. The clinical context for this code encompasses a variety of injuries, ranging from minor abrasions to severe trauma, depending on the nature of the collision and the protective gear worn by the motorcycle driver. Accurate coding is essential for understanding the epidemiology of motorcycle-related injuries and for implementing public health interventions aimed at reducing such incidents. Documentation must clearly indicate the circumstances of the accident, including the type of nonmotor vehicle involved and the location of the incident, to ensure proper coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact nature of the collision (e.g., type of nonmotor vehicle involved)
  • Identifying the location of the accident (nontraffic vs. traffic)
  • Differentiating between traffic-related and nontraffic-related incidents
  • Ensuring accurate documentation of the circumstances surrounding the accident

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Misclassification of the accident type (traffic vs. nontraffic)
  • Failure to specify the type of nonmotor vehicle involved
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must include a detailed account of the accident, including the mechanism of injury and any relevant patient history.

Common Clinical Scenarios

Patients presenting with injuries from collisions with bicycles or pedestrians in nontraffic settings.

Billing Considerations

Emergency physicians should ensure that the mechanism of injury is clearly documented to support the use of V26.0.

Trauma Surgery

Documentation Requirements

Trauma documentation should include specifics about the injury, the type of nonmotor vehicle involved, and the circumstances of the accident.

Common Clinical Scenarios

Trauma cases involving motorcycle drivers who have sustained injuries from collisions with nonmotor vehicles.

Billing Considerations

Trauma surgeons must accurately document the injury mechanism to facilitate appropriate coding and billing.

Coding Guidelines

Inclusion Criteria

Use V26.0 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • 0 should be reported only when the injury is specifically due to a collision with a nonmotor vehicle in a nontraffic accident
  • Coders must ensure that the external cause code is not used inappropriately for traffic
  • related incidents

Exclusion Criteria

Do NOT use V26.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used when a motorcycle driver presents to the emergency department after a nontraffic accident.

Documentation Requirements

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

Specialty Considerations

Emergency medicine specialists should ensure that the visit is appropriately coded based on the complexity of the case.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, including specific scenarios like nontraffic motorcycle accidents. This granularity aids in better tracking and analysis of injury patterns.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, including specific scenarios like nontraffic motorcycle accidents. This granularity aids in better tracking and analysis of injury patterns.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, including specific scenarios like nontraffic motorcycle accidents. This granularity aids in better tracking and analysis of injury patterns.

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 V26.0?

Use V26.0 when documenting injuries sustained by a motorcycle driver involved in a collision with a nonmotor vehicle during a nontraffic accident. Ensure that the circumstances of the accident are clearly documented.