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v1.0.0
ICD-10 Guide
ICD-10 CodesV23.21

V23.21

Billable

Unspecified electric (assisted) bicycle rider injured in collision with car, pick-up truck or van in nontraffic accident

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

Code Description

ICD-10 V23.21 is a billable code used to indicate a diagnosis of unspecified electric (assisted) bicycle rider injured in collision with car, pick-up truck or van in nontraffic accident.

Key Diagnostic Point:

The V23.21 code is utilized to classify injuries sustained by riders of electric (assisted) bicycles involved in collisions with motor vehicles such as cars, pick-up trucks, or vans, specifically in nontraffic accident scenarios. This code is particularly relevant in cases where the incident occurs in private property settings, such as parking lots or driveways, rather than on public roadways. The injuries may range from minor abrasions to severe trauma, depending on the speed of the vehicles involved and the circumstances of the collision. Accurate documentation of the incident's context is crucial, as it helps in understanding the nature of the injuries and the circumstances leading to the accident. This code is essential for public health data collection, as it aids in identifying trends in electric bicycle-related injuries and informs safety initiatives and policy-making.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the specific circumstances of the accident (nontraffic vs. traffic).
  • Differentiating between types of vehicles involved (car, pick-up truck, van).
  • Documenting the nature and extent of injuries accurately.
  • Understanding the distinction between electric bicycles and traditional bicycles.

Audit Risk Factors

  • Inadequate documentation of the accident's circumstances.
  • Misclassification of the type of vehicle involved.
  • Failure to specify the nature of injuries sustained.
  • Inconsistent coding practices across different healthcare settings.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, location of the accident, and type of vehicle involved to support the use of V23.21.

Common Clinical Scenarios

Patients presenting with injuries from collisions in parking lots or residential areas.

Billing Considerations

Emergency physicians should ensure that the documentation reflects the nontraffic nature of the incident to avoid coding errors.

Trauma Surgery

Documentation Requirements

Trauma surgeons need detailed accounts of the injury mechanism, including the speed of vehicles and the impact site on the patient.

Common Clinical Scenarios

Trauma cases involving significant injuries from collisions with motor vehicles.

Billing Considerations

Accurate coding is critical for trauma cases to ensure proper treatment and follow-up care.

Coding Guidelines

Inclusion Criteria

Use V23.21 When
  • According to ICD
  • CM guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • The circumstances of the accident must be clearly documented to justify the use of V23

Exclusion Criteria

Do NOT use V23.21 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used when treating injuries from a nontraffic accident involving an electric bicycle.

Documentation Requirements

Document the nature of the injury and the circumstances of the accident.

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 electric bicycle-related injuries, improving data collection and analysis for public health initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of electric bicycle-related injuries, improving data collection and analysis for public health initiatives.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of electric bicycle-related injuries, improving data collection and analysis for public health initiatives.

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 types of injuries are typically coded with V23.21?

Injuries can range from minor abrasions to severe trauma, including fractures and lacerations, depending on the impact and circumstances of the collision.

How do I differentiate between traffic and nontraffic accidents for coding?

Traffic accidents occur on public roadways, while nontraffic accidents happen in private settings like parking lots or driveways. Documentation should clarify the accident's location.