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ICD-10 Guide
ICD-10 CodesV23.5

V23.5

Billable

Motorcycle passenger injured in collision with car, pick-up truck or van in traffic accident

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

Code Description

ICD-10 V23.5 is a billable code used to indicate a diagnosis of motorcycle passenger injured in collision with car, pick-up truck or van in traffic accident.

Key Diagnostic Point:

The ICD-10 code V23.5 is used to classify injuries sustained by a motorcycle passenger involved in a collision with a car, pick-up truck, or van during a traffic accident. This code is critical for capturing the external cause of morbidity and mortality related to motorcycle accidents, which are a significant public health concern. Motorcycle passengers are particularly vulnerable due to the lack of protective barriers, leading to severe injuries or fatalities in collisions. Accurate coding of such incidents is essential for epidemiological tracking, resource allocation, and injury prevention strategies. Documentation should include details about the nature of the collision, the type of vehicle involved, and the specific injuries sustained to ensure proper coding and analysis of trends in motorcycle-related injuries.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident details.
  • Differentiation between types of vehicles involved.
  • Potential for multiple injuries requiring additional codes.
  • Variability in state laws regarding motorcycle passenger safety.

Audit Risk Factors

  • Inadequate documentation of the accident circumstances.
  • Failure to specify the type of vehicle involved.
  • Misclassification of the passenger's role (e.g., driver vs. passenger).
  • Omission of additional injury codes that may be relevant.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, type of vehicles involved, and any pre-existing conditions that may affect treatment.

Common Clinical Scenarios

Patients presenting with trauma from motorcycle accidents, including fractures, lacerations, and head injuries.

Billing Considerations

Consideration of helmet use and other safety measures that may impact injury severity.

Trauma Surgery

Documentation Requirements

Detailed trauma assessments, including injury severity scores and surgical interventions performed.

Common Clinical Scenarios

Trauma cases involving multiple injuries from motorcycle collisions requiring surgical intervention.

Billing Considerations

Accurate coding of all injuries sustained, including those not immediately apparent.

Coding Guidelines

Inclusion Criteria

Use V23.5 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the corresponding injury codes
  • It is essential to report the external cause code in the secondary position to the injury code to provide context for the injury

Exclusion Criteria

Do NOT use V23.5 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used for emergency visits related to motorcycle accidents.

Documentation Requirements

Documentation must support the level of service provided, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine specialists should ensure thorough documentation of the mechanism of injury.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more detailed coding of external causes, improving the ability to track and analyze motorcycle-related injuries. This specificity aids in public health initiatives and resource allocation for injury prevention.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes, improving the ability to track and analyze motorcycle-related injuries. This specificity aids in public health initiatives and resource allocation for injury prevention.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of external causes, improving the ability to track and analyze motorcycle-related injuries. This specificity aids in public health initiatives and resource allocation for injury prevention.

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 V23.5?

Documentation should include the details of the accident, the type of vehicles involved, the role of the patient (passenger), and any injuries sustained. This information is crucial for accurate coding and analysis.