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ICD-10 Guide
ICD-10 CodesV20.4

V20.4

Billable

Motorcycle driver injured in collision with pedestrian or animal in traffic accident

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

Code Description

ICD-10 V20.4 is a billable code used to indicate a diagnosis of motorcycle driver injured in collision with pedestrian or animal in traffic accident.

Key Diagnostic Point:

V20.4 is used to classify injuries sustained by motorcycle drivers involved in collisions with pedestrians or animals during traffic accidents. This code captures the external cause of morbidity and mortality associated with such incidents, which are significant contributors to road traffic injuries. Motorcycle accidents can lead to severe injuries, including fractures, head trauma, and soft tissue injuries, often exacerbated by the lack of protective barriers for the rider. Accurate coding of these incidents is crucial for public health data collection, injury prevention strategies, and resource allocation for trauma care. 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 visibility issues. This code is essential for understanding the epidemiology of motorcycle-related injuries and for implementing effective safety measures.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the circumstances surrounding the accident.
  • Variability in injury severity and types, requiring detailed clinical descriptions.
  • Potential for multiple external cause codes to be applicable.
  • Differentiation between collisions with pedestrians versus animals.

Audit Risk Factors

  • Inadequate documentation of the accident details.
  • Failure to specify whether the collision was with a pedestrian or an animal.
  • Incorrect assignment of codes due to lack of clarity in clinical notes.
  • Misinterpretation of the circumstances leading to the accident.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include a detailed account of the accident, mechanism of injury, and initial assessment findings.

Common Clinical Scenarios

Patients presenting with trauma after a motorcycle accident involving a pedestrian or animal, requiring immediate intervention.

Billing Considerations

Consideration of potential secondary injuries and the need for comprehensive trauma assessments.

Trauma Surgery

Documentation Requirements

Operative reports must detail the injuries sustained, surgical interventions performed, and any complications arising from the accident.

Common Clinical Scenarios

Trauma cases involving surgical repair of fractures or soft tissue injuries resulting from motorcycle collisions.

Billing Considerations

Accurate coding of associated injuries is critical for surgical billing and quality metrics.

Coding Guidelines

Inclusion Criteria

Use V20.4 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is essential to report the external cause code to provide context for the injury and to follow the guidelines for sequencing these codes correctly

Exclusion Criteria

Do NOT use V20.4 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used when a motorcycle driver presents to the emergency department with injuries from a collision.

Documentation Requirements

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

Specialty Considerations

Emergency medicine specialists should ensure that all relevant details of the accident are captured.

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, improving data accuracy and facilitating better public health tracking of motorcycle-related injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy and facilitating better public health tracking of motorcycle-related injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy and facilitating better public health tracking of 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 V20.4?

Documentation should include the details of the accident, the type of collision (pedestrian or animal), the injuries sustained, and any relevant environmental factors.