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v1.0.0
ICD-10 Guide
ICD-10 CodesV21.1

V21.1

Billable

Motorcycle passenger injured in collision with pedal cycle in nontraffic accident

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

Code Description

ICD-10 V21.1 is a billable code used to indicate a diagnosis of motorcycle passenger injured in collision with pedal cycle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V21.1 is used to classify injuries sustained by a motorcycle passenger involved in a collision with a pedal cycle during a nontraffic accident. This scenario typically occurs in settings where vehicles are not in motion on public roads, such as private property or parking lots. The injuries can range from minor abrasions to severe trauma, depending on the circumstances of the collision. Accurate coding is essential for understanding the epidemiology of such incidents, which can inform public health initiatives aimed at reducing injuries related to motorcycle and bicycle interactions. Documentation should include details about the nature of the accident, the environment in which it occurred, and the specific injuries sustained to ensure proper coding and facilitate appropriate treatment and follow-up care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact nature of the accident (nontraffic vs. traffic)
  • Differentiating between types of injuries sustained
  • Understanding the context of the collision (private property vs. public space)
  • Accurate documentation of the circumstances leading to the injury

Audit Risk Factors

  • Inadequate documentation of the accident's circumstances
  • Misclassification of traffic vs. nontraffic accidents
  • Failure to specify the type of injuries sustained
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly outline the mechanism of injury, patient presentation, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with lacerations, fractures, or contusions following a motorcycle-pedal cycle collision.

Billing Considerations

Ensure that the documentation specifies the nontraffic nature of the accident to avoid misclassification.

Trauma Surgery

Documentation Requirements

Detailed operative reports and injury assessments are necessary to capture the full extent of injuries and their causes.

Common Clinical Scenarios

Trauma cases involving significant injuries from motorcycle accidents, requiring surgical intervention.

Billing Considerations

Consider the mechanism of injury and document any pre-existing conditions that may affect treatment.

Coding Guidelines

Inclusion Criteria

Use V21.1 When
  • According to ICD
  • CM guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to capture the specific circumstances of the injury, including the location and nature of the accident

Exclusion Criteria

Do NOT use V21.1 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 motorcycle-pedal cycle collision.

Documentation Requirements

Documentation must support the level of service provided, 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, improving data accuracy and enabling better tracking of injury patterns. This specificity aids in public health research and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy and enabling better tracking of injury patterns. This specificity aids in public health research and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy and enabling better tracking of injury patterns. This specificity aids in public health research and resource allocation.

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 support the use of code V21.1?

Document the specific circumstances of the accident, including the location, type of vehicles involved, and the nature of the injuries sustained. Ensure that it is clear that the incident was a nontraffic accident.