2024 ICD-10-CM Diagnosis Code V28.01XA
Electric (assisted) bicycle driver injured in noncollision transport accident in nontraffic accident, initial encounter
- ICD-10-CM Code:
- V28.01XA
- ICD-10 Code for:
- Electc bike driver inj in nonclsn trnsp acc nontraf, init
- Is Billable?
- Yes - Valid for Submission
- Code Navigator:
V28.01XA is a billable diagnosis code used to specify a medical diagnosis of electric (assisted) bicycle driver injured in noncollision transport accident in nontraffic accident, initial encounter. 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.
V28.01XA is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like electric (assisted) bicycle driver injured in noncollision transport accident in nontraffic accident. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.
Clinical Classification
Clinical Category | CCSR Category Code | Inpatient Default CCSR | Outpatient Default CCSR |
---|---|---|---|
External cause codes: intent of injury, accidental/unintentional | EXT020 | X - Not applicable. | X - Not applicable. |
External cause codes: pedal cyclist; not MVT; initial encounter | EXT008 | X - Not applicable. | X - Not applicable. |
Present on Admission (POA)
V28.01XA 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
V2801XA replaces the following previously assigned ICD-10-CM code(s):
- V28.0XXA - Mtrcy driver injured in nonclsn trnsp accident nontraf, init
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