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ICD-10 Guide
ICD-10 CodesV26.19

V26.19

Billable

Other 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 V26.19 is a billable code used to indicate a diagnosis of other motorcycle passenger injured in collision with other nonmotor vehicle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V26.19 is used to classify injuries sustained by a motorcycle passenger involved in a collision with a nonmotor vehicle, such as a pedestrian, bicycle, or animal, in a nontraffic setting. This code is particularly relevant in cases where the incident occurs outside of traditional roadways, such as in parking lots, private property, or during recreational activities. The injuries can range from minor abrasions to severe trauma, depending on the circumstances of the collision. Accurate coding is essential for tracking injury patterns, understanding public health implications, and ensuring appropriate resource allocation for trauma care. Documentation should include details about the nature of the collision, the environment in which it occurred, and the specific injuries sustained to support the use of this code effectively.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact nature of the collision and the involved parties.
  • Differentiating between traffic and nontraffic accidents.
  • Identifying the specific injuries sustained by the passenger.
  • Ensuring accurate documentation of the accident's context.

Audit Risk Factors

  • Inadequate documentation of the accident circumstances.
  • Misclassification of traffic vs. nontraffic incidents.
  • Failure to specify the type of nonmotor vehicle involved.
  • Inconsistent coding practices among different coders.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly outline the mechanism of injury, patient presentation, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with fractures, lacerations, or concussions following a motorcycle accident involving a nonmotor vehicle.

Billing Considerations

Emergency physicians should ensure that the context of the accident is well-documented to support the use of V26.19.

Trauma Surgery

Documentation Requirements

Trauma assessments must include detailed descriptions of the injuries and the circumstances of the accident.

Common Clinical Scenarios

Trauma cases involving significant injuries from motorcycle collisions with pedestrians or stationary objects.

Billing Considerations

Trauma surgeons should be aware of the coding implications of the accident's context and ensure comprehensive documentation.

Coding Guidelines

Inclusion Criteria

Use V26.19 When
  • According to ICD
  • CM coding guidelines, external cause codes should be reported in conjunction with the primary diagnosis code
  • It is essential to provide the most specific code available to accurately reflect the circumstances of the injury

Exclusion Criteria

Do NOT use V26.19 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used when a motorcycle passenger presents to the ED with injuries from a nontraffic collision.

Documentation Requirements

Documentation must include the reason for the visit, examination findings, and treatment provided.

Specialty Considerations

Emergency medicine specialists should ensure that the visit is well-documented to support 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 specific coding of external causes of injuries, improving data accuracy and facilitating better public health tracking of motorcycle-related injuries.

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy and facilitating better public health 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

When should I use V26.19 instead of other motorcycle passenger codes?

Use V26.19 specifically for injuries sustained by motorcycle passengers in nontraffic collisions with nonmotor vehicles. Ensure that the documentation clearly indicates the nature of the accident.