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ICD-10 Guide
ICD-10 CodesV28.59

V28.59

Billable

Other motorcycle passenger injured in noncollision transport accident in traffic accident

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

Code Description

ICD-10 V28.59 is a billable code used to indicate a diagnosis of other motorcycle passenger injured in noncollision transport accident in traffic accident.

Key Diagnostic Point:

The ICD-10 code V28.59 is used to classify injuries sustained by motorcycle passengers involved in noncollision transport accidents during traffic incidents. This code captures a specific subset of motorcycle-related injuries that occur when a motorcycle is in motion but not involved in a direct collision with another vehicle or object. Examples include accidents caused by sudden stops, loss of control, or environmental factors such as road conditions. Accurate coding is essential for understanding the epidemiology of motorcycle injuries and for implementing public health strategies aimed at reducing such incidents. 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 mechanical failures.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between collision and noncollision incidents
  • Understanding the specific circumstances leading to the accident
  • Documenting the passenger's role and injuries accurately
  • Navigating the nuances of external cause coding guidelines

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Misclassification of collision vs. noncollision events
  • Failure to capture all relevant external cause codes
  • Inconsistent coding practices across different providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly outline the mechanism of injury, including details about the noncollision event and the patient's condition upon arrival.

Common Clinical Scenarios

Patients presenting with injuries from sudden stops, loss of balance, or environmental hazards while riding as a passenger on a motorcycle.

Billing Considerations

Emergency providers must ensure that the mechanism of injury is well documented to support the use of V28.59.

Trauma Surgery

Documentation Requirements

Trauma documentation must include a detailed account of the injuries sustained, the mechanism of injury, and any surgical interventions performed.

Common Clinical Scenarios

Trauma cases involving motorcycle passengers who have sustained fractures, lacerations, or other injuries from noncollision events.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use V28.59 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • 59 should be reported only when the specific circumstances of the noncollision transport accident are documented

Exclusion Criteria

Do NOT use V28.59 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 with significant injuries requiring immediate care.

Documentation Requirements

Documentation must support the level of service, including details of the injuries and treatment provided.

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 allows for more granular coding of external causes, 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 allows for more granular coding of external causes, improving data collection and analysis for public health initiatives aimed at reducing motorcycle-related injuries.

Reimbursement & Billing Impact

The transition to ICD-10 allows for more granular coding of external causes, 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

When should I use V28.59 instead of V28.5?

Use V28.59 when the motorcycle passenger is injured in a noncollision transport accident, such as losing control or falling, rather than in a collision with another vehicle.