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v1.0.0
ICD-10 Guide
ICD-10 CodesChapter 20: External causes of morbidityV23

V23

Billable

Motorcycle rider injured in collision with car, pick-up truck or van

Chapter 20:External causes of morbidity

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

Code Description

ICD-10 V23 is a billable code used to indicate a diagnosis of motorcycle rider injured in collision with car, pick-up truck or van.

Key Diagnostic Point:

The V23 code is utilized to classify injuries sustained by motorcycle riders involved in collisions with motor vehicles such as cars, pick-up trucks, or vans. This code is crucial for capturing the external cause of morbidity and mortality associated with motorcycle accidents, which are significant contributors to trauma-related injuries. In clinical practice, accurate coding of such incidents is essential for understanding the epidemiology of motorcycle-related injuries, facilitating public health initiatives, and ensuring appropriate resource allocation for trauma care. The code encompasses a range of potential injuries, from minor abrasions to severe traumatic brain injuries, and is often used in conjunction with specific injury codes to provide a comprehensive view of the patient's condition. Proper documentation of the circumstances surrounding the collision, including the type of vehicle involved and the nature of the injuries sustained, is vital for accurate coding and subsequent analysis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in injury severity and types of injuries sustained.
  • Need for precise documentation of the circumstances of the collision.
  • Potential for multiple external cause codes to be applicable.
  • Differentiation between motorcycle collisions and other types of vehicle accidents.

Audit Risk Factors

  • Inadequate documentation of the circumstances of the accident.
  • Failure to capture all relevant external cause codes.
  • Misclassification of the type of vehicle involved.
  • Inconsistent coding practices among different providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, including details about the collision and the patient's condition upon arrival.

Common Clinical Scenarios

Patients presenting with head injuries, fractures, or lacerations following a motorcycle accident.

Billing Considerations

Consideration of pre-existing conditions that may affect injury severity and treatment.

Trauma Surgery

Documentation Requirements

Detailed surgical notes and injury assessments are required to support the coding of injuries sustained in motorcycle collisions.

Common Clinical Scenarios

Trauma cases involving multiple injuries requiring surgical intervention.

Billing Considerations

Documentation should include the mechanism of injury and any complications arising from the accident.

Coding Guidelines

Inclusion Criteria

Use V23 When
  • According to ICD
  • CM guidelines, external cause codes should be reported in conjunction with the primary diagnosis code
  • It is essential to capture the specific circumstances of the injury, including the type of vehicle involved and the location of the incident

Exclusion Criteria

Do NOT use V23 When
No specific exclusions found.

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used for patients presenting with severe injuries from motorcycle accidents.

Documentation Requirements

Detailed documentation of the patient's condition and treatment provided.

Specialty Considerations

Emergency medicine providers must ensure accurate coding of the visit level 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 greater specificity in coding motorcycle-related injuries, enabling better tracking of injury patterns and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding motorcycle-related injuries, enabling better tracking of injury patterns and outcomes.

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

When should I use V23?

Use V23 when documenting injuries sustained by a motorcycle rider involved in a collision with a car, pick-up truck, or van. Ensure that the circumstances of the accident are well-documented.