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v1.0.0
ICD-10 Guide
ICD-10 CodesV22.3

V22.3

Billable

Person boarding or alighting a motorcycle injured in collision with two- or three-wheeled motor vehicle

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

Code Description

ICD-10 V22.3 is a billable code used to indicate a diagnosis of person boarding or alighting a motorcycle injured in collision with two- or three-wheeled motor vehicle.

Key Diagnostic Point:

The ICD-10 code V22.3 is used to classify injuries sustained by individuals who are boarding or alighting from a motorcycle and are involved in a collision with another two- or three-wheeled motor vehicle. This code captures the external cause of morbidity and mortality associated with motorcycle accidents, specifically focusing on the moments of entry or exit from the motorcycle. Such incidents often result in significant injuries due to the high risk associated with motorcycle travel, including fractures, head injuries, and soft tissue injuries. Accurate coding of these incidents is crucial for understanding the epidemiology of motorcycle-related injuries, guiding public health interventions, and informing safety regulations. Documentation should include details about the circumstances of the incident, the type of vehicles involved, and the nature of the injuries sustained.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact moment of injury (boarding or alighting)
  • Differentiating between types of motorcycle collisions
  • Understanding the context of the accident (e.g., road conditions, traffic laws)
  • Accurate documentation of the external cause in relation to the injury

Audit Risk Factors

  • Inadequate documentation of the circumstances leading to the injury
  • Misclassification of the type of vehicle involved
  • Failure to specify whether the person was boarding or alighting
  • Inconsistent use of external cause codes across different encounters

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, including whether the patient was boarding or alighting from the motorcycle.

Common Clinical Scenarios

Patients presenting with trauma after a motorcycle accident, particularly those involving other two- or three-wheeled vehicles.

Billing Considerations

Consideration of the patient's history, including helmet use and prior motorcycle experience, can impact coding and treatment.

Trauma Surgery

Documentation Requirements

Trauma documentation must include detailed descriptions of the injuries sustained and the circumstances of the accident.

Common Clinical Scenarios

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

Billing Considerations

Accurate coding is essential for trauma registries and for tracking injury patterns in motorcycle accidents.

Coding Guidelines

Inclusion Criteria

Use V22.3 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the corresponding injury codes
  • It is important to report the external cause code to provide context for the injury and to follow the guidelines for sequencing external cause codes appropriately

Exclusion Criteria

Do NOT use V22.3 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 accident.

Documentation Requirements

Documentation must include the nature of the injuries and the circumstances of the accident.

Specialty Considerations

Emergency medicine specialists should ensure that the external cause code is linked to the visit.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

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

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

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

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 V22.3?

Documentation should include the specific circumstances of the injury, whether the patient was boarding or alighting from the motorcycle, and details about the collision with the other vehicle.