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ICD-10 Guide
ICD-10 CodesChapter 20: External causes of morbidityV21

V21

Non-billable

Motorcycle rider injured in collision with pedal cycle

Chapter 20:External causes of morbidity

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 V21 is a used to indicate a diagnosis of motorcycle rider injured in collision with pedal cycle.

Key Diagnostic Point:

The ICD-10 code V21 pertains specifically to motorcycle riders who sustain injuries as a result of collisions with pedal cycles. This category encompasses a range of injuries that can occur during such incidents, including fractures, lacerations, contusions, and other trauma-related conditions. The clinical significance of this code lies in its ability to capture data on motorcycle-related injuries, which can inform public health initiatives and safety regulations aimed at reducing accidents between motorcyclists and cyclists. Accurate coding is crucial for understanding the epidemiology of these injuries and for developing targeted interventions to improve safety for both groups of road users.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability of injuries
  • Need for detailed documentation
  • Potential for overlapping codes

Audit Risk Factors

  • Inadequate documentation
  • Misclassification of injuries
  • Failure to report all injuries sustained

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Orthopedic Surgery

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical and administrative impact of the V21 code category is significant, as it provides valuable data for understanding the prevalence and nature of motorcycle-related injuries. This information can be used to inform quality measures aimed at improving patient outcomes and enhancing safety regulations for motorcyclists and cyclists. Additionally, tracking these injuries can help healthcare providers and policymakers identify trends in road safety and allocate resources effectively to reduce the incidence of such collisions.

ICD-9 vs ICD-10

The clinical and administrative impact of the V21 code category is significant, as it provides valuable data for understanding the prevalence and nature of motorcycle-related injuries. This information can be used to inform quality measures aimed at improving patient outcomes and enhancing safety regulations for motorcyclists and cyclists. Additionally, tracking these injuries can help healthcare providers and policymakers identify trends in road safety and allocate resources effectively to reduce the incidence of such collisions.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the severity of the injuries and the complexity of the treatment provided. It is also important to be aware of payer-specific guidelines that may affect billing practices for motorcycle-related injuries.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for V21

Coding & Billing References

  • •
    Official ICD-10 Guidelines for V21

Frequently Asked Questions

What conditions are included in V21?

V21 includes various injuries sustained by motorcycle riders in collisions with pedal cycles, such as fractures, soft tissue injuries, and head trauma. It is important to document the specifics of the injury for accurate coding.

When should I use V21 codes?

V21 codes should be used when a motorcycle rider is involved in a collision with a pedal cycle and sustains injuries as a result. It is essential to ensure that the collision is documented clearly in the medical record.

What documentation is required for V21?

Documentation must include details of the collision, the type of injuries sustained, and any treatments provided. Clear and thorough medical records are necessary to support the use of V21 codes.