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ICD-10 Guide
ICD-10 CodesV20.19

V20.19

Billable

Other motorcycle passenger injured in collision with pedestrian or animal in nontraffic accident

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

Code Description

ICD-10 V20.19 is a billable code used to indicate a diagnosis of other motorcycle passenger injured in collision with pedestrian or animal in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V20.19 is used to classify injuries sustained by motorcycle passengers involved in collisions with pedestrians or animals that occur outside of traffic situations. This code is particularly relevant in cases where the motorcycle is not on a public roadway, such as in private property or rural areas. The injuries can range from minor abrasions to severe trauma, depending on the circumstances of the collision. Accurate coding is essential for tracking injury patterns, understanding public health implications, and ensuring appropriate resource allocation for trauma care. Documentation should include details about the nature of the collision, the environment in which it occurred, and the specific injuries sustained by the passenger. This code helps in identifying trends in motorcycle-related injuries and can inform preventive measures and safety campaigns aimed at reducing such incidents.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact nature of the collision (nontraffic vs. traffic)
  • Differentiating between types of injuries sustained
  • Understanding the context of the accident (private property vs. public space)
  • Accurate documentation of the passenger's role and injuries

Audit Risk Factors

  • Inadequate documentation of the accident's circumstances
  • Misclassification of traffic vs. nontraffic incidents
  • Failure to specify the type of injuries sustained
  • Inconsistent coding practices among different providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with lacerations, fractures, or contusions after being a motorcycle passenger in a collision with a pedestrian or animal.

Billing Considerations

Ensure that the documentation reflects the nontraffic nature of the incident to avoid misclassification.

Trauma Surgery

Documentation Requirements

Trauma assessments must include detailed descriptions of injuries and the circumstances of the accident, including any surgical interventions performed.

Common Clinical Scenarios

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

Billing Considerations

Accurate coding is critical for trauma registries and for understanding injury patterns in motorcycle accidents.

Coding Guidelines

Inclusion Criteria

Use V20.19 When
  • According to ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code to provide a complete picture of the patient's condition
  • The external cause code should reflect the specific circumstances of the injury

Exclusion Criteria

Do NOT use V20.19 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

Detailed documentation of the patient's condition, treatment provided, and the mechanism of injury.

Specialty Considerations

Emergency medicine providers 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 specific coding of external causes of injuries, improving data accuracy and enabling better tracking of motorcycle-related injuries in nontraffic scenarios.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy and enabling better tracking of motorcycle-related injuries in nontraffic scenarios.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy and enabling better tracking of motorcycle-related injuries in nontraffic scenarios.

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 is the significance of using V20.19?

Using V20.19 allows healthcare providers to accurately document and report injuries sustained by motorcycle passengers in nontraffic accidents, which is crucial for public health data and injury prevention strategies.