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ICD-10 Guide
ICD-10 CodesV26.99

V26.99

Billable

Unspecified rider of other motorcycle injured in collision with other nonmotor vehicle in traffic accident

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

Code Description

ICD-10 V26.99 is a billable code used to indicate a diagnosis of unspecified rider of other motorcycle injured in collision with other nonmotor vehicle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V26.99 is used to classify injuries sustained by riders of motorcycles that are not specified as traditional motorcycles (e.g., scooters, mopeds) when they are involved in a collision with non-motor vehicles, such as bicycles, pedestrians, or animals, during a traffic accident. This code captures the external cause of morbidity and mortality related to traffic incidents, emphasizing the importance of understanding the circumstances surrounding the injury. Accurate coding is crucial for public health data collection, resource allocation, and injury prevention strategies. It is essential to document the specifics of the incident, including the type of motorcycle, the nature of the collision, and any contributing factors, to ensure proper coding and analysis of traffic-related injuries.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in the type of motorcycle involved
  • Variability in documentation of the collision circumstances
  • Potential overlap with other external cause codes
  • Need for specificity in injury details

Audit Risk Factors

  • Inadequate documentation of the motorcycle type
  • Failure to specify the non-motor vehicle involved
  • Misclassification of the incident type
  • Lack of clarity in the circumstances leading to the accident

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include details of the incident, type of motorcycle, and injuries sustained.

Common Clinical Scenarios

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

Billing Considerations

Ensure that all relevant details are captured in the medical record to support accurate coding.

Trauma Surgery

Documentation Requirements

Trauma registries require comprehensive documentation of the mechanism of injury and specific injuries sustained.

Common Clinical Scenarios

Trauma cases involving complex injuries from motorcycle collisions with non-motor vehicles.

Billing Considerations

Consider the potential for multiple injuries and the need for detailed coding of each injury.

Coding Guidelines

Inclusion Criteria

Use V26.99 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the external cause codes are sequenced correctly and that all relevant details are documented to support the code assignment

Exclusion Criteria

Do NOT use V26.99 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when treating a patient with significant injuries from a motorcycle accident.

Documentation Requirements

Document the nature of the injuries and the treatment provided.

Specialty Considerations

Emergency medicine specialists should ensure thorough documentation 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 motorcycle-related injuries, improving data accuracy and enhancing public health tracking of traffic-related injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of motorcycle-related injuries, improving data accuracy and enhancing public health tracking of traffic-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 I document to support the use of V26.99?

Document the type of motorcycle involved, the specifics of the collision with the non-motor vehicle, and any injuries sustained. This information is crucial for accurate coding and analysis.