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ICD-10 Guide
ICD-10 CodesV28.49

V28.49

Billable

Other motorcycle driver injured in noncollision transport accident in traffic accident

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

Code Description

ICD-10 V28.49 is a billable code used to indicate a diagnosis of other motorcycle driver injured in noncollision transport accident in traffic accident.

Key Diagnostic Point:

The ICD-10 code V28.49 is used to classify injuries sustained by motorcycle drivers involved in noncollision transport accidents within the context of traffic incidents. This code is particularly relevant for cases where the motorcycle driver is injured due to factors such as loss of control, mechanical failure, or environmental hazards, rather than direct collisions with other vehicles or objects. Clinical scenarios may include instances where a motorcycle driver falls due to slippery road conditions or suffers injuries from a sudden stop caused by an obstacle. Accurate coding of this scenario is crucial for understanding the epidemiology of motorcycle-related injuries and for implementing public health strategies aimed at reducing such incidents. Proper documentation should detail the circumstances leading to the injury, including environmental conditions and any mechanical issues with the motorcycle.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between collision and noncollision incidents
  • Understanding the specific circumstances of the accident
  • Documenting environmental factors that contributed to the injury
  • Identifying the motorcycle driver as the injured party

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Misclassification of the type of accident (collision vs. noncollision)
  • Failure to specify the motorcycle driver as the injured party
  • Inconsistent coding practices across different healthcare providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must clearly outline the mechanism of injury, including details about the motorcycle and the circumstances of the accident.

Common Clinical Scenarios

Patients presenting with injuries from falls, loss of control, or mechanical failures while riding a motorcycle.

Billing Considerations

Emergency physicians should ensure that all relevant details are captured to support accurate coding and facilitate appropriate treatment.

Trauma Surgery

Documentation Requirements

Trauma documentation should include a thorough account of the injury mechanism, including any contributing factors such as road conditions or motorcycle malfunctions.

Common Clinical Scenarios

Trauma cases involving motorcycle drivers who have sustained injuries from noncollision events.

Billing Considerations

Trauma surgeons must be vigilant in documenting the specifics of the incident to ensure accurate coding and billing.

Coding Guidelines

Inclusion Criteria

Use V28.49 When
  • According to the ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to report the external cause code to provide context for the injury and to comply with coding requirements

Exclusion Criteria

Do NOT use V28.49 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used when treating a motorcycle driver injured in a noncollision accident.

Documentation Requirements

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

Specialty Considerations

Emergency medicine specialists should ensure that the visit is well-documented to justify the CPT code.

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 of injuries, improving 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 specific coding of external causes of injuries, improving data collection and analysis for public health initiatives aimed at reducing motorcycle-related injuries.

Reimbursement & Billing Impact

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

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 V28.49?

Documentation should include a detailed account of the accident circumstances, including environmental factors, mechanical issues, and the specific nature of the injuries sustained.