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v1.0.0
ICD-10 Guide
ICD-10 CodesChapter 20: External causes of morbidityV26

V26

Billable

Motorcycle rider injured in collision with other nonmotor vehicle

Chapter 20:External causes of morbidity

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

Code Description

ICD-10 V26 is a billable code used to indicate a diagnosis of motorcycle rider injured in collision with other nonmotor vehicle.

Key Diagnostic Point:

The V26 code is used to classify injuries sustained by motorcycle riders involved in collisions with nonmotor vehicles, such as bicycles, pedestrians, or animals. This code is essential for capturing the external causes of morbidity and mortality associated with motorcycle accidents. Accurate coding is crucial for public health data, as it helps identify trends in motorcycle-related injuries and informs safety regulations and interventions. In clinical practice, documentation should include details about the circumstances of the accident, the type of nonmotor vehicle involved, and the nature of the injuries sustained. This information aids in understanding the impact of such collisions on public health and can guide preventive measures.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation quality regarding the circumstances of the accident.
  • Need for specificity in identifying the type of nonmotor vehicle involved.
  • Potential for confusion with other external cause codes related to motor vehicle accidents.
  • Requirement for comprehensive clinical details to support the code selection.

Audit Risk Factors

  • Inadequate documentation of the circumstances surrounding the accident.
  • Failure to specify the type of nonmotor vehicle involved.
  • Misclassification of the accident type leading to incorrect coding.
  • Inconsistent coding practices among different healthcare providers.

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 nonmotor vehicle involved.

Common Clinical Scenarios

A motorcycle rider collides with a pedestrian while navigating a crosswalk, resulting in various injuries.

Billing Considerations

Ensure that the documentation captures the specifics of the accident to support the use of V26.

Trauma Surgery

Documentation Requirements

Trauma notes must include a detailed account of the injury mechanism, including the type of nonmotor vehicle and the extent of injuries.

Common Clinical Scenarios

A motorcycle rider sustains fractures after hitting a parked bicycle.

Billing Considerations

Accurate coding is critical for trauma registries and can impact quality metrics.

Coding Guidelines

Inclusion Criteria

Use V26 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to report the external cause code to provide context for the injury and to follow the guidelines for sequencing these codes appropriately

Exclusion Criteria

Do NOT use V26 When
No specific exclusions found.

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used when a motorcycle rider presents to the emergency department after a collision.

Documentation Requirements

Document the mechanism of injury, vital signs, and any immediate interventions.

Specialty Considerations

Emergency medicine providers should ensure that the documentation supports the level of service billed.

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, including motorcycle accidents. This specificity aids in better tracking of injury patterns and can influence public health initiatives aimed at reducing motorcycle-related injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes, including motorcycle accidents. This specificity aids in better tracking of injury patterns and can influence public health initiatives aimed at reducing motorcycle-related injuries.

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 V26?

Documentation should include details about the collision, the type of nonmotor vehicle involved, and the nature of the injuries sustained. This information is critical for accurate coding and reporting.