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ICD-10 Guide
ICD-10 CodesV27.4

V27.4

Billable

Motorcycle driver injured in collision with fixed or stationary object in traffic accident

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

Code Description

ICD-10 V27.4 is a billable code used to indicate a diagnosis of motorcycle driver injured in collision with fixed or stationary object in traffic accident.

Key Diagnostic Point:

The ICD-10 code V27.4 is used to classify injuries sustained by motorcycle drivers involved in collisions with fixed or stationary objects during traffic accidents. This code is crucial for accurately capturing the external causes of morbidity and mortality related to motorcycle accidents. Such collisions can result in a variety of injuries, including fractures, head trauma, and soft tissue injuries, depending on the speed of the motorcycle and the nature of the object struck. Accurate coding is essential for public health data collection, insurance reimbursement, and understanding the epidemiology of motorcycle-related injuries. Documentation should include details about the accident, the type of object involved, and the specific injuries sustained to ensure proper coding and facilitate effective treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in injury types and severity
  • Need for precise documentation of the accident scenario
  • Differentiation from other traffic accident codes
  • Potential for multiple injuries requiring co-coding

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Failure to specify the type of fixed object involved
  • Incorrect linkage of injuries to the external cause code
  • Misclassification of the motorcycle driver status

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include a detailed account of the accident, mechanism of injury, and initial assessment findings.

Common Clinical Scenarios

Patients presenting with head injuries, fractures, or lacerations following a motorcycle collision with a stationary object.

Billing Considerations

Ensure that all injuries are documented and linked to the external cause code to avoid underreporting of motorcycle-related injuries.

Trauma Surgery

Documentation Requirements

Trauma registries require comprehensive documentation of the mechanism of injury, injury severity scores, and treatment provided.

Common Clinical Scenarios

Trauma cases involving multiple injuries from motorcycle accidents, including surgical interventions.

Billing Considerations

Accurate coding is critical for trauma outcomes analysis and resource allocation in trauma centers.

Coding Guidelines

Inclusion Criteria

Use V27.4 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the corresponding injury codes
  • The external cause code should be recorded in the secondary position to the injury code to provide context for the injury

Exclusion Criteria

Do NOT use V27.4 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 driver presents to the ED with significant injuries.

Documentation Requirements

Document the level of service, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine providers should ensure accurate coding to reflect the complexity of care provided.

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 for public health reporting and injury prevention efforts.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy for public health reporting and injury prevention efforts.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy for public health reporting and injury prevention efforts.

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 use code V27.4?

Documentation should include the specifics of the accident, the type of fixed object involved, and the injuries sustained by the motorcycle driver.