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ICD-10 Guide
ICD-10 CodesV28.11

V28.11

Billable

Electric (assisted) bicycle passenger injured in noncollision transport accident in nontraffic accident

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

Code Description

ICD-10 V28.11 is a billable code used to indicate a diagnosis of electric (assisted) bicycle passenger injured in noncollision transport accident in nontraffic accident.

Key Diagnostic Point:

The V28.11 code is used to classify injuries sustained by passengers on electric (assisted) bicycles during noncollision transport accidents that occur outside of traffic scenarios. This includes incidents where the bicycle is involved in accidents that do not involve other vehicles or pedestrians, such as falls, mechanical failures, or accidents occurring in private property or recreational areas. Accurate coding of this scenario is crucial for understanding the epidemiology of injuries related to electric bicycles, which are becoming increasingly popular. Documentation should include details about the nature of the accident, the mechanism of injury, and any contributing factors such as environmental conditions or equipment failure. This code is essential for public health data collection and injury prevention strategies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between collision and noncollision incidents
  • Identifying the specific type of transport accident
  • Understanding the context of the injury (e.g., recreational vs. utilitarian use)
  • Documenting the passenger's role versus the operator's role

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Misclassification of the incident type (collision vs. noncollision)
  • Failure to specify the role of the injured party (passenger vs. operator)
  • Ambiguity in the description of the injury mechanism

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly describe the mechanism of injury, the patient's role as a passenger, and any relevant environmental factors.

Common Clinical Scenarios

Patients presenting with fractures or soft tissue injuries after falling from an electric bicycle while being a passenger.

Billing Considerations

Ensure that the distinction between operator and passenger is clear to avoid coding errors.

Trauma Surgery

Documentation Requirements

Trauma documentation must include detailed descriptions of the injury, the circumstances of the accident, and any pre-existing conditions that may affect recovery.

Common Clinical Scenarios

Trauma cases involving multiple injuries from a noncollision accident while riding as a passenger.

Billing Considerations

Consider the potential for co-existing injuries and the need for comprehensive coding.

Coding Guidelines

Inclusion Criteria

Use V28.11 When
  • Follow the ICD
  • CM Official Guidelines for Coding and Reporting, particularly Section I
  • 19 for external cause codes
  • Ensure that the code is used in conjunction with appropriate injury codes to provide a complete picture of the patient's condition

Exclusion Criteria

Do NOT use V28.11 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used when a passenger presents to the ED with injuries from a noncollision accident.

Documentation Requirements

Document the nature of the visit, including the mechanism of injury and any treatments provided.

Specialty Considerations

Emergency medicine specialists should ensure accurate coding of the visit 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 specific coding of injuries related to electric bicycles, improving data collection and analysis for public health initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries related to electric bicycles, improving data collection and analysis for public health initiatives.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries related to electric bicycles, improving data collection and analysis for public health initiatives.

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 is the difference between V28.11 and V28.12?

V28.11 is used for passengers injured in noncollision transport accidents, while V28.12 is for operators of electric bicycles in similar situations.