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ICD-10 Guide
ICD-10 CodesV22.31

V22.31

Billable

Person boarding or alighting an electric (assisted) bicycle injured in collision with two- or three-wheeled motor vehicle

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

Code Description

ICD-10 V22.31 is a billable code used to indicate a diagnosis of person boarding or alighting an electric (assisted) bicycle injured in collision with two- or three-wheeled motor vehicle.

Key Diagnostic Point:

The ICD-10 code V22.31 is used to classify injuries sustained by individuals who are boarding or alighting from an electric (assisted) bicycle and are involved in a collision with a two- or three-wheeled motor vehicle. This code captures the external cause of morbidity and mortality related to such incidents, which are increasingly common as electric bicycles gain popularity. The injuries can range from minor abrasions to severe trauma, including fractures and head injuries, depending on the speed of the vehicles involved and the circumstances of the collision. Accurate coding is essential for tracking injury patterns, facilitating public health research, and ensuring appropriate reimbursement for healthcare services. 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 circumstances of the incident can be challenging.
  • Differentiating between types of bicycles and motor vehicles may require specific details.
  • Injuries may vary widely, necessitating careful documentation of the injury type.
  • Potential for confusion with other external cause codes related to bicycle accidents.

Audit Risk Factors

  • Inadequate documentation of the incident details.
  • Misclassification of the type of vehicle involved.
  • Failure to capture the context of boarding or alighting.
  • 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 about the collision and the patient's condition upon arrival.

Common Clinical Scenarios

Patients presenting with trauma after being struck while boarding or alighting from an electric bicycle.

Billing Considerations

Consideration of potential head injuries and the need for imaging studies.

Trauma Surgery

Documentation Requirements

Operative reports and trauma assessments must detail the injuries sustained and the mechanism of injury.

Common Clinical Scenarios

Trauma cases involving fractures or significant soft tissue injuries from collisions.

Billing Considerations

Documentation should reflect the severity of injuries and any surgical interventions performed.

Coding Guidelines

Inclusion Criteria

Use V22.31 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 in the secondary position to the injury code to provide a complete picture of the patient's condition

Exclusion Criteria

Do NOT use V22.31 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 with injuries from a collision.

Documentation Requirements

Documentation must support the level of service provided.

Specialty Considerations

Emergency medicine documentation should reflect the nature of the injuries and the treatment provided.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more granular coding of external causes of injuries, including those related to electric bicycles. This specificity aids in better tracking and understanding of injury patterns in public health.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more granular coding of external causes of injuries, including those related to electric bicycles. This specificity aids in better tracking and understanding of injury patterns in public health.

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 V22.31?

Documentation should include details about the incident, such as the type of vehicles involved, the circumstances of boarding or alighting, and the nature of the injuries sustained.