2024 ICD-10-CM Diagnosis Code V21.99XS
Unspecified rider of other motorcycle injured in collision with pedal cycle in traffic accident, sequela
- ICD-10-CM Code:
- V21.99XS
- ICD-10 Code for:
- Unsp rider of mtrcy inj in clsn with pedl cyc in traf, sqla
- Is Billable?
- Yes - Valid for Submission
- Code Navigator:
V21.99XS is a billable diagnosis code used to specify a medical diagnosis of unspecified rider of other motorcycle injured in collision with pedal cycle in traffic accident, sequela. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
V21.99XS is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like unspecified rider of other motorcycle injured in collision with pedal cycle in traffic accident. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.
Unspecified diagnosis codes like V21.99XS are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Motor vehicle on road in collision with pedal cycle
- Motor vehicle traffic accident involving collision between motor vehicle and pedal cycle, motor cyclist injured
Clinical Classification
Clinical Category is External cause codes: sequela
- CCSR Category Code: EXT030
- Inpatient Default CCSR: X - Not applicable.
- Outpatient Default CCSR: X - Not applicable.
Present on Admission (POA)
V21.99XS is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.
CMS POA Indicator Options and Definitions
POA Indicator | Reason for Code | CMS will pay the CC/MCC DRG? |
---|---|---|
Y | Diagnosis was present at time of inpatient admission. | YES |
N | Diagnosis was not present at time of inpatient admission. | NO |
U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | NO |
W | Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission. | YES |
1 | Unreported/Not used - Exempt from POA reporting. | NO |
Replacement Code
V2199XS replaces the following previously assigned ICD-10-CM code(s):
- V21.9XXS - Unsp mtrcy rider injured in clsn w pedl cyc in traf, sequela
Code History
- FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
- FY 2023 - Code Added, effective from 10/1/2022 through 9/30/2023