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v1.0.0
ICD-10 Guide
ICD-10 CodesV27.21

V27.21

Billable

Unspecified electric (assisted) bicycle rider injured in collision with fixed or stationary object in nontraffic accident

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

Code Description

ICD-10 V27.21 is a billable code used to indicate a diagnosis of unspecified electric (assisted) bicycle rider injured in collision with fixed or stationary object in nontraffic accident.

Key Diagnostic Point:

This code is used to classify injuries sustained by riders of electric (assisted) bicycles when they collide with fixed or stationary objects in nontraffic environments, such as private property or parks. The injuries can range from minor abrasions to severe trauma, depending on the speed of the bicycle and the nature of the collision. Accurate coding is essential for tracking injury patterns, understanding the risks associated with electric bicycles, and implementing public health strategies to reduce such incidents. Documentation should include details about the circumstances of the accident, the type of object involved, and the nature of the injuries sustained. This code is particularly relevant as the popularity of electric bicycles increases, leading to a rise in related injuries that may not occur on public roadways.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in documentation regarding the specifics of the accident.
  • Variability in the severity of injuries that may not be clearly defined.
  • Potential overlap with other external cause codes for similar incidents.
  • Need for precise details about the fixed or stationary object involved.

Audit Risk Factors

  • Inadequate documentation of the accident circumstances.
  • Failure to specify the type of fixed or stationary object involved.
  • Misclassification of the accident type (traffic vs. nontraffic).
  • Inconsistent use of external cause codes across different providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly outline the mechanism of injury, including the type of bicycle and object involved.

Common Clinical Scenarios

Patients presenting with fractures, lacerations, or contusions after colliding with a fence, tree, or other stationary objects.

Billing Considerations

Ensure that the mechanism of injury is well-documented to support the use of this specific external cause code.

Trauma Surgery

Documentation Requirements

Trauma assessments must detail the injury patterns and the circumstances of the collision.

Common Clinical Scenarios

Severe injuries requiring surgical intervention due to high-impact collisions with fixed objects.

Billing Considerations

Accurate coding is critical for trauma registries and public health data collection.

Coding Guidelines

Inclusion Criteria

Use V27.21 When
  • Follow the ICD
  • CM Official Guidelines for Coding and Reporting, particularly Section I
  • 19 on external causes of morbidity
  • Ensure that the external cause code is sequenced appropriately with the injury codes

Exclusion Criteria

Do NOT use V27.21 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 with injuries from an electric bicycle accident.

Documentation Requirements

Document the nature of the injuries and the external cause.

Specialty Considerations

Emergency medicine providers should ensure accurate linkage between the visit and the external cause code.

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 should be documented to use V27.21?

Documentation should include the specifics of the collision, the type of object involved, and the nature of the injuries sustained. Clear descriptions help support the use of this external cause code.