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v1.0.0
ICD-10 Guide
ICD-10 CodesV26.3

V26.3

Billable

Person boarding or alighting a motorcycle injured in collision with other nonmotor vehicle

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

Code Description

ICD-10 V26.3 is a billable code used to indicate a diagnosis of person boarding or alighting a motorcycle injured in collision with other nonmotor vehicle.

Key Diagnostic Point:

The ICD-10 code V26.3 is used to classify injuries sustained by individuals who are boarding or alighting from a motorcycle and are involved in a collision with a nonmotor vehicle, such as a pedestrian, bicycle, or animal. This code is essential for capturing the external cause of morbidity and mortality related to motorcycle accidents, particularly in scenarios where the individual is not yet fully engaged in riding the motorcycle. Accurate coding of this scenario is crucial for public health data, as it helps in understanding the patterns of motorcycle-related injuries and the effectiveness of safety interventions. Documentation should include details about the circumstances of the incident, the type of nonmotor vehicle involved, and the nature of the injuries sustained. This code is particularly relevant in emergency and trauma settings, where timely and precise coding can influence treatment decisions and resource allocation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact moment of boarding or alighting from the motorcycle.
  • Identifying the type of nonmotor vehicle involved in the collision.
  • Differentiating between injuries sustained while boarding/alighting versus riding.
  • Ensuring accurate documentation of the incident circumstances.

Audit Risk Factors

  • Inadequate documentation of the incident details.
  • Misclassification of the type of vehicle involved.
  • Failure to specify whether the individual was boarding or alighting.
  • Inconsistent coding practices among different coders.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department records must clearly document the mechanism of injury, including the type of nonmotor vehicle involved and the patient's actions at the time of the incident.

Common Clinical Scenarios

Patients presenting with injuries after being struck by a pedestrian while boarding a motorcycle.

Billing Considerations

Emergency physicians should ensure that the documentation reflects the timing of the injury relative to boarding or alighting.

Trauma Surgery

Documentation Requirements

Trauma notes should include detailed descriptions of the injuries, the mechanism of injury, and any relevant pre-existing conditions.

Common Clinical Scenarios

Trauma cases involving significant injuries from collisions with bicycles or pedestrians.

Billing Considerations

Trauma surgeons must accurately capture the context of the injury to support appropriate coding and billing.

Coding Guidelines

Inclusion Criteria

Use V26.3 When
  • According to the ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is essential to report the external cause code in the secondary position to the primary diagnosis code that describes the injury
  • Additionally, the circumstances surrounding the injury should be documented to support the use of this code

Exclusion Criteria

Do NOT use V26.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used when a patient presents to the ED with injuries from a motorcycle incident.

Documentation Requirements

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

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 granular coding of external causes of injuries, including specific scenarios like boarding or alighting from a motorcycle. This has improved data collection and analysis for public health initiatives aimed at reducing motorcycle-related injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more granular coding of external causes of injuries, including specific scenarios like boarding or alighting from a motorcycle. This has improved data collection and analysis for public health initiatives aimed at reducing motorcycle-related injuries.

Reimbursement & Billing Impact

reimbursement and compliance with payer requirements.

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 I document to support the use of V26.3?

You should document the specific circumstances of the injury, including the type of nonmotor vehicle involved, whether the patient was boarding or alighting, and any relevant details about the incident.