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ICD-10 Guide
ICD-10 CodesV21.19

V21.19

Billable

Other 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 V21.19 is a billable code used to indicate a diagnosis of other motorcycle passenger injured in collision with pedal cycle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V21.19 is used to classify injuries sustained by a passenger on a motorcycle who is involved in a collision with a pedal cycle (bicycle) during a nontraffic accident. This scenario typically occurs in settings where motorcycles and bicycles are in close proximity, such as parking lots, private property, or other non-public roadways. The injuries can range from minor abrasions and contusions to more severe trauma, including fractures or head injuries, depending on the speed of the motorcycle and the circumstances of the collision. Accurate coding of this incident is crucial for understanding the epidemiology of motorcycle-related injuries and for implementing preventive measures in public health. Documentation should clearly indicate the nature of the accident, the role of the motorcycle passenger, and the specifics of the injuries sustained to ensure proper coding and billing.

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
  • Identifying the role of the motorcycle passenger versus the cyclist
  • Ensuring accurate documentation of the accident location

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Misclassification of traffic vs. nontraffic accidents
  • Failure to specify the role of the motorcycle passenger
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include details of the accident, mechanism of injury, and a thorough assessment of injuries.

Common Clinical Scenarios

Patients presenting with injuries from motorcycle accidents in nontraffic settings, such as parking lots or private property.

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 mechanism of injury, injury severity, and treatment provided.

Common Clinical Scenarios

Trauma cases involving motorcycle passengers with significant injuries from collisions with bicycles.

Billing Considerations

Trauma surgeons should be aware of the coding implications of nontraffic accidents and ensure that all injuries are documented accurately.

Coding Guidelines

Inclusion Criteria

Use V21.19 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 nature of the accident, to support the use of V21

Exclusion Criteria

Do NOT use V21.19 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 passenger presents to the ED with injuries from a nontraffic accident.

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 coded accurately 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 is the importance of accurately coding V21.19?

Accurate coding of V21.19 is crucial for understanding the epidemiology of motorcycle-related injuries, guiding public health initiatives, and ensuring appropriate reimbursement for healthcare services.