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v1.0.0
ICD-10 Guide
ICD-10 CodesV20.39

V20.39

Billable

Person boarding or alighting other motorcycle injured in collision with pedestrian or animal

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

Code Description

ICD-10 V20.39 is a billable code used to indicate a diagnosis of person boarding or alighting other motorcycle injured in collision with pedestrian or animal.

Key Diagnostic Point:

The ICD-10 code V20.39 is used to classify injuries sustained by individuals who are boarding or alighting from a motorcycle and are involved in a collision with a pedestrian or an animal. This code is particularly relevant in scenarios where the individual is not actively riding the motorcycle but is in the process of getting on or off it. Such incidents can lead to various injuries, ranging from minor abrasions to severe trauma, depending on the circumstances of the collision. Accurate coding of these events is crucial for understanding the epidemiology of motorcycle-related injuries and for implementing public health strategies aimed at reducing such incidents. Documentation should include details about the circumstances of the collision, the type of motorcycle involved, and the nature of the injuries sustained to ensure proper coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact circumstances of the injury (boarding vs. alighting)
  • Differentiating between types of collisions (pedestrian vs. animal)
  • Ensuring accurate documentation of the event leading to the injury
  • Potential overlap with other external cause codes

Audit Risk Factors

  • Inadequate documentation of the circumstances surrounding the injury
  • Misclassification of the type of collision (pedestrian vs. animal)
  • Failure to capture the boarding or alighting status
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, including whether the patient was boarding or alighting from the motorcycle and details of the collision.

Common Clinical Scenarios

Patients presenting with injuries after being struck while boarding or alighting from a motorcycle, often requiring immediate assessment and intervention.

Billing Considerations

Emergency physicians should ensure that all relevant details are captured in the medical record to support accurate coding.

Trauma Surgery

Documentation Requirements

Trauma documentation must include a detailed account of the injury mechanism, including the patient's position relative to the motorcycle and the nature of the collision.

Common Clinical Scenarios

Trauma cases involving significant injuries from motorcycle collisions, necessitating surgical intervention or extensive management.

Billing Considerations

Trauma surgeons should be aware of the coding implications of the mechanism of injury to ensure proper billing and data collection.

Coding Guidelines

Inclusion Criteria

Use V20.39 When
  • According to the ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to document the specific circumstances of the injury, including the location and activity at the time of the incident

Exclusion Criteria

Do NOT use V20.39 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, level 3

Clinical Scenario

Used when a patient presents to the emergency department with injuries from a motorcycle 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 visit is appropriately coded based on the complexity of the case.

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 collection and analysis for public health initiatives aimed at reducing motorcycle-related injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data collection and analysis for public health initiatives aimed at reducing motorcycle-related injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, 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

What should be documented to support the use of V20.39?

Documentation should include the specific circumstances of the injury, including whether the patient was boarding or alighting from the motorcycle, details of the collision, and the nature of the injuries sustained.