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ICD-10 Guide
ICD-10 CodesV26.91

V26.91

Billable

Unspecified electric (assisted) bicycle rider injured in collision with other nonmotor vehicle in traffic accident

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

Code Description

ICD-10 V26.91 is a billable code used to indicate a diagnosis of unspecified electric (assisted) bicycle rider injured in collision with other nonmotor vehicle in traffic accident.

Key Diagnostic Point:

The V26.91 code is used to classify injuries sustained by riders of electric (assisted) bicycles involved in collisions with nonmotor vehicles, such as pedestrians, bicycles, or animals, during traffic accidents. This code is essential for capturing the external cause of morbidity and mortality related to traffic incidents involving electric bicycles, which are increasingly popular. Accurate coding is crucial for public health data collection, injury prevention strategies, and resource allocation. The code does not specify the nature of the injury, allowing for flexibility in documentation but requiring thorough clinical details to ensure proper coding. It is important to differentiate these incidents from those involving motor vehicles to accurately reflect the circumstances of the injury and to inform safety measures and policy decisions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in documentation regarding the type of collision
  • Variability in injury severity and types of injuries sustained
  • Need for precise details about the circumstances of the accident
  • Potential overlap with other external cause codes

Audit Risk Factors

  • Inadequate documentation of the circumstances surrounding the accident
  • Failure to specify the type of nonmotor vehicle involved
  • Misclassification of the injury type or severity
  • 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 patient history.

Common Clinical Scenarios

Patients presenting with fractures, lacerations, or contusions after a collision with a pedestrian or another bicycle.

Billing Considerations

Ensure that the documentation specifies the type of bicycle (electric) and the nature of the collision to avoid ambiguity.

Trauma Surgery

Documentation Requirements

Trauma notes must include detailed descriptions of the injury patterns and the circumstances of the accident.

Common Clinical Scenarios

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

Billing Considerations

Accurate coding is critical for trauma registries and may influence future funding and resource allocation.

Coding Guidelines

Inclusion Criteria

Use V26.91 When
  • According to ICD
  • 10 coding 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, following the primary diagnosis code for the injury

Exclusion Criteria

Do NOT use V26.91 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used for patients presenting with significant injuries from e-bike collisions.

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 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 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

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.

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 types of injuries are typically coded with V26.91?

V26.91 is used for a variety of injuries sustained by electric bicycle riders, including fractures, contusions, and lacerations resulting from collisions with nonmotor vehicles.