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ICD-10 Guide
ICD-10 CodesV26.59

V26.59

Billable

Other motorcycle passenger injured in collision with other nonmotor vehicle in traffic accident

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

Code Description

ICD-10 V26.59 is a billable code used to indicate a diagnosis of other motorcycle passenger injured in collision with other nonmotor vehicle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V26.59 is used to classify injuries sustained by passengers on motorcycles involved in collisions with nonmotor vehicles during traffic accidents. This code captures a specific subset of motorcycle-related injuries, emphasizing the unique risks faced by motorcycle passengers. In traffic incidents, motorcycle passengers can suffer a range of injuries, from minor abrasions to severe trauma, depending on the nature of the collision and the protective gear worn. Accurate coding is essential for understanding the epidemiology of motorcycle accidents, guiding public health interventions, and ensuring appropriate resource allocation for trauma care. This code is particularly relevant in urban settings where motorcycle use is prevalent and where interactions with nonmotor vehicles, such as bicycles, pedestrians, or stationary objects, are common. Proper documentation of the circumstances surrounding the accident, including the type of nonmotor vehicle involved, is crucial for accurate coding and subsequent analysis of injury patterns.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of accident details
  • Need for specificity regarding the type of nonmotor vehicle involved
  • Potential for confusion with other motorcycle-related codes
  • Variations in state laws regarding motorcycle passenger safety

Audit Risk Factors

  • Incomplete documentation of the accident circumstances
  • Failure to specify the type of nonmotor vehicle involved
  • Misclassification of the injury type or severity
  • Inconsistent coding practices among different providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department documentation should include details of the accident, mechanism of injury, and any pre-existing conditions that may affect treatment.

Common Clinical Scenarios

Patients presenting with trauma after a motorcycle accident involving a pedestrian or stationary object.

Billing Considerations

Ensure that all relevant details about the accident are captured, including the involvement of nonmotor vehicles.

Trauma Surgery

Documentation Requirements

Trauma documentation must include a thorough assessment of injuries, mechanism of injury, and any surgical interventions performed.

Common Clinical Scenarios

Patients requiring surgical intervention due to severe injuries from motorcycle collisions.

Billing Considerations

Accurate coding is essential for trauma registries and quality improvement initiatives.

Coding Guidelines

Inclusion Criteria

Use V26.59 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used in conjunction with appropriate injury codes
  • Document the external cause of injury in the medical record, including the circumstances of the accident

Exclusion Criteria

Do NOT use V26.59 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 to the emergency department with severe injuries.

Documentation Requirements

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

Specialty Considerations

Emergency medicine providers should ensure that the mechanism of injury is clearly documented.

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, improving data collection and analysis for public health initiatives aimed at reducing motorcycle-related injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data collection and analysis for public health initiatives aimed at reducing motorcycle-related injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data collection and analysis for public health initiatives aimed at reducing motorcycle-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 be documented to support the use of V26.59?

Documentation should include details of the accident, the type of nonmotor vehicle involved, the mechanism of injury, and the severity of injuries sustained by the motorcycle passenger.