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ICD-10 Guide
ICD-10 CodesV21.49

V21.49

Billable

Other motorcycle driver injured in collision with pedal cycle in traffic accident

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

Code Description

ICD-10 V21.49 is a billable code used to indicate a diagnosis of other motorcycle driver injured in collision with pedal cycle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V21.49 is used to classify injuries sustained by motorcycle drivers involved in collisions with pedal cycles during traffic accidents. This code captures the external cause of morbidity and mortality related to traffic incidents, specifically focusing on the dynamics of motorcycle-pedal cycle interactions. Such collisions can result in a variety of injuries, ranging from minor abrasions to severe trauma, including fractures, head injuries, and internal injuries. Accurate coding is essential for understanding the epidemiology of traffic-related injuries, facilitating public health interventions, and ensuring appropriate resource allocation for trauma care. Documentation should include details about the circumstances of the accident, the type of motorcycle and pedal cycle involved, and the nature of the injuries sustained. This code is particularly relevant in emergency medicine and trauma surgery settings, where timely and precise coding can impact patient management and outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation quality regarding accident details
  • Need for precise identification of the type of vehicles involved
  • Differentiation between various types of motorcycle injuries
  • Potential for overlapping codes in multi-vehicle accidents

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Misclassification of the type of vehicle involved
  • Failure to capture all injuries sustained
  • 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 details of the collision, patient presentation, and initial assessment findings.

Common Clinical Scenarios

Patients presenting with trauma after a motorcycle-pedal cycle collision, including head injuries, fractures, and soft tissue injuries.

Billing Considerations

Consideration of pre-existing conditions that may complicate the injury or recovery process.

Trauma Surgery

Documentation Requirements

Operative reports and trauma assessments must detail the injuries sustained, surgical interventions performed, and the mechanism of injury.

Common Clinical Scenarios

Trauma cases involving surgical intervention due to severe injuries from motorcycle-pedal cycle collisions.

Billing Considerations

Attention to the potential for multiple injuries requiring comprehensive coding.

Coding Guidelines

Inclusion Criteria

Use V21.49 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is essential to capture the sequence of events leading to the injury, including the location and circumstances of the accident

Exclusion Criteria

Do NOT use V21.49 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used for emergency visits related to injuries from motorcycle-pedal cycle collisions.

Documentation Requirements

Documentation must support the level of service, 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 of injuries, improving data accuracy for public health and safety initiatives. V21.49 provides a distinct classification for motorcycle-pedal cycle collisions, enhancing the understanding of these incidents.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy for public health and safety initiatives. V21.49 provides a distinct classification for motorcycle-pedal cycle collisions, enhancing the understanding of these incidents.

Reimbursement & Billing Impact

reimbursement.

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 V21.49?

Documentation should include details about the accident, such as the type of vehicles involved, the circumstances leading to the collision, and the nature of the injuries sustained by the motorcycle driver.