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v1.0.0
ICD-10 Guide
ICD-10 CodesChapter 20: External causes of morbidityV27

V27

Billable

Motorcycle rider injured in collision with fixed or stationary object

Chapter 20:External causes of morbidity

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

Code Description

ICD-10 V27 is a billable code used to indicate a diagnosis of motorcycle rider injured in collision with fixed or stationary object.

Key Diagnostic Point:

The V27 code is utilized to classify injuries sustained by motorcycle riders involved in collisions with fixed or stationary objects, such as trees, guardrails, or parked vehicles. This code is essential for capturing the external causes of morbidity and mortality associated with motorcycle accidents. In clinical practice, accurate coding of such incidents is crucial for understanding injury patterns, guiding public health interventions, and ensuring appropriate resource allocation for trauma care. The documentation should include details about the circumstances of the accident, the type of object involved, and the nature of the injuries sustained. This code is particularly relevant in emergency medicine and trauma surgery settings, where timely and precise coding can impact patient management and outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation quality regarding the specifics of the collision.
  • Need for precise identification of the fixed or stationary object involved.
  • Potential for multiple injuries requiring differentiation in coding.
  • Variations in state laws regarding motorcycle helmet use and safety regulations.

Audit Risk Factors

  • Inadequate documentation of the circumstances leading to the collision.
  • Failure to specify the type of fixed or stationary object involved.
  • Misclassification of the injury type or severity.
  • Inconsistent coding practices across different providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, including the type of object involved and the circumstances of the collision.

Common Clinical Scenarios

Motorcycle accidents involving collisions with trees, poles, or other stationary objects.

Billing Considerations

Consideration of the rider's protective gear and its impact on injury severity.

Trauma Surgery

Documentation Requirements

Trauma registries require detailed descriptions of the injury mechanism and associated injuries.

Common Clinical Scenarios

Patients presenting with multiple trauma from motorcycle collisions, requiring surgical intervention.

Billing Considerations

Assessment of the need for surgical intervention based on the nature of the injuries.

Coding Guidelines

Inclusion Criteria

Use V27 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the corresponding injury codes
  • It is essential to report the external cause code in the secondary position to the primary diagnosis code reflecting the injury sustained

Exclusion Criteria

Do NOT use V27 When
No specific exclusions found.

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used for patients presenting with severe injuries from motorcycle collisions.

Documentation Requirements

Documentation must reflect the severity of the injury and the complexity of medical decision-making.

Specialty Considerations

Emergency medicine providers 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 granular coding of external causes, improving data collection and analysis for motorcycle-related injuries. This specificity aids in public health initiatives aimed at reducing motorcycle accidents.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more granular coding of external causes, improving data collection and analysis for motorcycle-related injuries. This specificity aids in public health initiatives aimed at reducing motorcycle accidents.

Reimbursement & Billing Impact

reimbursement and for tracking injury trends.

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 V27?

Documentation should include the specifics of the collision, such as the type of fixed object involved, the circumstances leading to the accident, and the nature of the injuries sustained.