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ICD-10 Guide
ICD-10 CodesV28.5

V28.5

Billable

Motorcycle passenger injured in noncollision transport accident in traffic accident

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

Code Description

ICD-10 V28.5 is a billable code used to indicate a diagnosis of motorcycle passenger injured in noncollision transport accident in traffic accident.

Key Diagnostic Point:

The ICD-10 code V28.5 is used to classify injuries sustained by a motorcycle passenger involved in a noncollision transport accident within the context of a traffic accident. This code is particularly relevant for documenting incidents where the motorcycle is involved in a traffic situation but does not collide with another vehicle or object. Such scenarios may include falls from the motorcycle, loss of control due to environmental factors, or accidents caused by road conditions. Accurate coding of this scenario is crucial for understanding the epidemiology of motorcycle-related injuries, which can inform public health initiatives and safety regulations. Proper documentation should include details about the circumstances of the accident, the nature of the injuries sustained, and any contributing factors such as weather conditions or road hazards. This code helps in tracking the incidence of motorcycle-related injuries and can aid in the development of targeted interventions to improve safety for motorcycle passengers.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires detailed documentation of the accident circumstances.
  • Differentiating between collision and noncollision events.
  • Understanding the context of traffic accidents.
  • Potential overlap with other external cause codes.

Audit Risk Factors

  • Inadequate documentation of the accident type.
  • Misclassification of collision versus noncollision events.
  • Failure to capture all relevant external cause codes.
  • Inconsistent reporting of injury details.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly outline the mechanism of injury, including details of the noncollision event and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with injuries from falls off motorcycles or loss of control due to road conditions.

Billing Considerations

Emergency physicians should ensure that all contributing factors are documented to support the use of V28.5.

Trauma Surgery

Documentation Requirements

Trauma documentation must include a comprehensive account of the patient's injuries, the mechanism of injury, and any surgical interventions performed.

Common Clinical Scenarios

Trauma cases involving motorcycle passengers who have sustained injuries from noncollision incidents.

Billing Considerations

Trauma surgeons should be aware of the importance of accurately coding the external cause to reflect the nature of the injuries sustained.

Coding Guidelines

Inclusion Criteria

Use V28.5 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • 5 should be reported only when the motorcycle passenger's injuries are specifically due to a noncollision transport accident
  • Coders must ensure that the code is supported by the clinical documentation

Exclusion Criteria

Do NOT use V28.5 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 with serious injuries requiring immediate attention.

Documentation Requirements

Detailed documentation of the patient's condition, treatment provided, and any referrals made.

Specialty Considerations

Emergency medicine specialists should ensure that the visit is coded accurately based on the severity of the injuries.

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 noncollision transport accidents. This granularity aids in better tracking and understanding of motorcycle-related injuries.

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 noncollision transport accidents. This granularity aids in better tracking and understanding of motorcycle-related injuries.

Reimbursement & Billing Impact

reimbursement.

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 V28.5?

Injuries that occur to motorcycle passengers during noncollision events, such as falls or loss of control, are typically coded with V28.5. This includes fractures, lacerations, and other trauma resulting from these incidents.