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v1.0.0
ICD-10 Guide
ICD-10 CodesV26.1

V26.1

Billable

Motorcycle passenger injured in collision with other nonmotor vehicle in nontraffic accident

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

Code Description

ICD-10 V26.1 is a billable code used to indicate a diagnosis of motorcycle passenger injured in collision with other nonmotor vehicle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V26.1 is used to classify injuries sustained by a motorcycle passenger involved in a collision with a nonmotor vehicle, such as a bicycle, pedestrian, or animal, occurring outside of traffic scenarios. This code is particularly relevant in cases where the motorcycle is not in motion on a public roadway, such as in a private property accident or during recreational activities. Accurate coding is essential for understanding the epidemiology of motorcycle-related injuries and for implementing public health strategies aimed at reducing such incidents. Documentation should include details about the nature of the collision, the type of nonmotor vehicle involved, and the circumstances surrounding the accident to ensure proper coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact nature of the collision and the type of nonmotor vehicle involved.
  • Differentiating between traffic and nontraffic accidents.
  • Ensuring accurate documentation of the accident's circumstances.
  • Potential overlap with other external cause codes.

Audit Risk Factors

  • Inadequate documentation of the accident circumstances.
  • Misclassification of traffic vs. nontraffic accidents.
  • Failure to specify the type of nonmotor vehicle involved.
  • Inconsistent coding practices across different providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed accounts of the incident, including time, place, and mechanism of injury.

Common Clinical Scenarios

Patients presenting with injuries from motorcycle accidents involving pedestrians or bicycles.

Billing Considerations

Emergency physicians should ensure that all relevant details are captured in the medical record to support accurate coding.

Trauma Surgery

Documentation Requirements

Comprehensive trauma assessments and surgical notes detailing the injuries sustained.

Common Clinical Scenarios

Trauma cases involving significant injuries from motorcycle collisions with nonmotor vehicles.

Billing Considerations

Trauma surgeons must document the mechanism of injury clearly to facilitate accurate coding and billing.

Coding Guidelines

Inclusion Criteria

Use V26.1 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 comply with coding regulations

Exclusion Criteria

Do NOT use V26.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a motorcycle passenger presents to the ED with significant injuries.

Documentation Requirements

Detailed documentation of the patient's condition and the mechanism of injury.

Specialty Considerations

Emergency medicine specialists should ensure that the external cause code is linked to the visit.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy and enabling better tracking of motorcycle-related injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy and enabling better tracking of motorcycle-related injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy and enabling better tracking of motorcycle-related injuries.

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 V26.1?

Documentation should include details about the collision, the type of nonmotor vehicle involved, the circumstances of the accident, and any relevant patient history.