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ICD-10 Guide
ICD-10 CodesV20.31

V20.31

Billable

Person boarding or alighting an electric (assisted) bicycle injured in collision with pedestrian or animal

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

Code Description

ICD-10 V20.31 is a billable code used to indicate a diagnosis of person boarding or alighting an electric (assisted) bicycle injured in collision with pedestrian or animal.

Key Diagnostic Point:

The ICD-10 code V20.31 is designated for injuries sustained by individuals who are boarding or alighting from an electric (assisted) bicycle and are involved in a collision with a pedestrian or an animal. This code captures the external cause of morbidity related to the increasing use of electric bicycles, which are becoming more prevalent in urban settings. 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 injury prevention programs. Documentation should include details about the incident, such as the environment (urban vs. rural), the speed of the bicycle, and the nature of the collision, to provide context for the injury and support the use of this specific code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation quality regarding the circumstances of the incident.
  • Differentiation between injuries sustained while boarding vs. alighting.
  • Need for precise details about the collision (e.g., type of pedestrian or animal involved).
  • Potential overlap with other external cause codes related to bicycle accidents.

Audit Risk Factors

  • Inadequate documentation of the circumstances leading to the injury.
  • Misclassification of the type of vehicle involved in the collision.
  • Failure to specify whether the injury occurred while boarding or alighting.
  • Inconsistent use of external cause codes for similar incidents.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly describe the mechanism of injury, including the patient's actions (boarding or alighting) and the nature of the collision.

Common Clinical Scenarios

Patients presenting with fractures, lacerations, or contusions after a collision with a pedestrian or animal while using an electric bicycle.

Billing Considerations

Consideration of the patient's history, including prior injuries or conditions that may affect recovery.

Trauma Surgery

Documentation Requirements

Detailed operative reports and trauma assessments should include the mechanism of injury and any surgical interventions performed.

Common Clinical Scenarios

Severe injuries requiring surgical intervention, such as orthopedic repairs or soft tissue reconstruction after a collision.

Billing Considerations

Documentation must reflect the severity of injuries and any complications arising from the incident.

Coding Guidelines

Inclusion Criteria

Use V20.31 When
  • Coders should refer to the official ICD
  • CM coding guidelines, ensuring that the external cause code is used in conjunction with the appropriate injury diagnosis codes
  • The code should be reported in the secondary position when applicable

Exclusion Criteria

Do NOT use V20.31 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 bicycle collision.

Documentation Requirements

Documentation must support the level of service, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine specialists 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 has allowed for more specific coding of external causes of injuries, including those related to electric bicycles. This specificity aids in better tracking and understanding of injury patterns in public health.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those related to electric bicycles. This specificity aids in better tracking and understanding of injury patterns in public health.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those related to electric bicycles. This specificity aids in better tracking and understanding of injury patterns in public health.

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 code V20.31?

Documentation should include the circumstances of the injury, whether the patient was boarding or alighting from the electric bicycle, details of the collision, and the type of injuries sustained.