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v1.0.0
ICD-10 Guide
ICD-10 CodesV20.21

V20.21

Billable

Unspecified electric (assisted) bicycle rider injured in collision with pedestrian or animal in nontraffic accident

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

Code Description

ICD-10 V20.21 is a billable code used to indicate a diagnosis of unspecified electric (assisted) bicycle rider injured in collision with pedestrian or animal in nontraffic accident.

Key Diagnostic Point:

The code V20.21 is used to classify injuries sustained by riders of electric (assisted) bicycles who are involved in collisions with pedestrians or animals in nontraffic settings. This includes incidents occurring in parks, private properties, or other non-public roadways. 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 the epidemiology of electric bicycle-related injuries, and informing public health initiatives aimed at improving safety for both cyclists and pedestrians. Documentation should include details about the nature of the collision, the environment in which it occurred, and the specific injuries sustained to ensure proper coding and analysis of external causes of morbidity.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in the term 'unspecified' which may lead to misinterpretation.
  • Variability in documentation quality regarding the specifics of the accident.
  • Need for precise details about the collision context (e.g., location, involved parties).
  • Potential overlap with other external cause codes that may apply.

Audit Risk Factors

  • Inadequate documentation of the accident details leading to coding errors.
  • Misclassification of the accident type (traffic vs. nontraffic).
  • Failure to specify the nature of the injuries sustained.
  • Inconsistent coding practices among different providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, including the type of bicycle, the circumstances of the collision, and the injuries sustained.

Common Clinical Scenarios

Patients presenting with fractures, lacerations, or contusions following a collision with a pedestrian or animal.

Billing Considerations

Ensure that all relevant details are captured in the medical record to support the use of V20.21.

Trauma Surgery

Documentation Requirements

Trauma notes must include a detailed account of the incident, including the type of electric bicycle, the environment of the accident, and a thorough assessment of injuries.

Common Clinical Scenarios

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

Billing Considerations

Accurate coding is crucial for trauma registries and public health data.

Coding Guidelines

Inclusion Criteria

Use V20.21 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the external cause code is used in conjunction with the appropriate injury codes
  • Document the circumstances of the injury thoroughly to support the use of V20

Exclusion Criteria

Do NOT use V20.21 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 to the emergency department with injuries from a nontraffic collision.

Documentation Requirements

Document the nature of the visit, including the mechanism of injury and treatment provided.

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 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 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 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 I document to use V20.21 accurately?

Document the specifics of the collision, including the type of electric bicycle, the environment where the accident occurred, and the nature of the injuries sustained. This information is crucial for accurate coding.