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  5. Motorcycle rider injured in collision with pedal cycle (V21)

Motorcycle rider injured in collision with pedal cycle (V21)

The ICD-10 code V21 section specifies codes for injuries sustained by motorcycle riders, passengers, or persons boarding or alighting motorcycles involved in collisions with pedal cycles. These codes differentiate between traffic and nontraffic accidents, types of motorcycles including electric (assisted) bicycles, and the status of the injury encounter (initial, subsequent, or sequela).

This set of codes covers a range of injury scenarios where a motorcycle or electric bicycle rider or passenger is hurt following a collision with a pedal cycle, commonly known as a bicycle. For example, V21.0 details nontraffic injuries to motorcycle drivers, while V21.4 refers to similar injuries occurring in traffic accidents. The inclusion of electric (assisted) bicycles as distinct categories, such as V21.01 and V21.41, recognizes the specific circumstances of these modern vehicles. Precise code selection assists in coding for initial treatment, follow-up care, or complications arising from such accidents. This section helps medical coders identify the exact external cause of injury when motorcycle riders or passengers collide specifically with pedal cycles, a key distinction in trauma reporting and healthcare documentation.

  • External causes of morbidity and mortality (V01–Y99)

    • Motorcycle rider injured in transport accident (V20-V29)

        • Motorcycle rider injured in collision with pedal cycle (V21)

        • V21 Motorcycle rider injured in collision with pedal cycle
        • V21.0 Motorcycle driver injured in collision with pedal cycle in nontraffic accident
        • V21.01 Electric (assisted) bicycle driver injured in collision with pedal cycle in nontraffic accident
        • V21.01XA Electric (assisted) bicycle driver injured in collision with pedal cycle in nontraffic accident, initial encounter
        • V21.01XD Electric (assisted) bicycle driver injured in collision with pedal cycle in nontraffic accident, subsequent encounter
        • V21.01XS Electric (assisted) bicycle driver injured in collision with pedal cycle in nontraffic accident, sequela
        • V21.09 Other motorcycle driver injured in collision with pedal cycle in nontraffic accident
        • V21.09XA Other motorcycle driver injured in collision with pedal cycle in nontraffic accident, initial encounter
        • V21.09XD Other motorcycle driver injured in collision with pedal cycle in nontraffic accident, subsequent encounter
        • V21.09XS Other motorcycle driver injured in collision with pedal cycle in nontraffic accident, sequela
        • V21.1 Motorcycle passenger injured in collision with pedal cycle in nontraffic accident
        • V21.11 Electric (assisted) bicycle passenger injured in collision with pedal cycle in nontraffic accident
        • V21.11XA Electric (assisted) bicycle passenger injured in collision with pedal cycle in nontraffic accident, initial encounter
        • V21.11XD Electric (assisted) bicycle passenger injured in collision with pedal cycle in nontraffic accident, subsequent encounter
        • V21.11XS Electric (assisted) bicycle passenger injured in collision with pedal cycle in nontraffic accident, sequela
        • V21.19 Other motorcycle passenger injured in collision with pedal cycle in nontraffic accident
        • V21.19XA Other motorcycle passenger injured in collision with pedal cycle in nontraffic accident, initial encounter
        • V21.19XD Other motorcycle passenger injured in collision with pedal cycle in nontraffic accident, subsequent encounter
        • V21.19XS Other motorcycle passenger injured in collision with pedal cycle in nontraffic accident, sequela
        • V21.2 Unspecified motorcycle rider injured in collision with pedal cycle in nontraffic accident
        • V21.21 Unspecified electric (assisted) bicycle rider injured in collision with pedal cycle in nontraffic accident
        • V21.21XA Unspecified electric (assisted) bicycle rider injured in collision with pedal cycle in nontraffic accident, initial encounter
        • V21.21XD Unspecified electric (assisted) bicycle rider injured in collision with pedal cycle in nontraffic accident, subsequent encounter
        • V21.21XS Unspecified electric (assisted) bicycle rider injured in collision with pedal cycle in nontraffic accident, sequela
        • V21.29 Unspecified rider of other motorcycle injured in collision with pedal cycle in nontraffic accident
        • V21.29XA Unspecified rider of other motorcycle injured in collision with pedal cycle in nontraffic accident, initial encounter
        • V21.29XD Unspecified rider of other motorcycle injured in collision with pedal cycle in nontraffic accident, subsequent encounter
        • V21.29XS Unspecified rider of other motorcycle injured in collision with pedal cycle in nontraffic accident, sequela
        • V21.3 Person boarding or alighting a motorcycle injured in collision with pedal cycle
        • V21.31 Person boarding or alighting an electric (assisted) bicycle injured in collision with pedal cycle
        • V21.31XA Person boarding or alighting an electric (assisted) bicycle injured in collision with pedal cycle, initial encounter
        • V21.31XD Person boarding or alighting an electric (assisted) bicycle injured in collision with pedal cycle, subsequent encounter
        • V21.31XS Person boarding or alighting an electric (assisted) bicycle injured in collision with pedal cycle, sequela
        • V21.39 Person boarding or alighting other motorcycle injured in collision with pedal cycle
        • V21.39XA Person boarding or alighting other motorcycle injured in collision with pedal cycle, initial encounter
        • V21.39XD Person boarding or alighting other motorcycle injured in collision with pedal cycle, subsequent encounter
        • V21.39XS Person boarding or alighting other motorcycle injured in collision with pedal cycle, sequela
        • V21.4 Motorcycle driver injured in collision with pedal cycle in traffic accident
        • V21.41 Electric (assisted) bicycle driver injured in collision with pedal cycle in traffic accident
        • V21.41XA Electric (assisted) bicycle driver injured in collision with pedal cycle in traffic accident, initial encounter
        • V21.41XD Electric (assisted) bicycle driver injured in collision with pedal cycle in traffic accident, subsequent encounter
        • V21.41XS Electric (assisted) bicycle driver injured in collision with pedal cycle in traffic accident, sequela
        • V21.49 Other motorcycle driver injured in collision with pedal cycle in traffic accident
        • V21.49XA Other motorcycle driver injured in collision with pedal cycle in traffic accident, initial encounter
        • V21.49XD Other motorcycle driver injured in collision with pedal cycle in traffic accident, subsequent encounter
        • V21.49XS Other motorcycle driver injured in collision with pedal cycle in traffic accident, sequela
        • V21.5 Motorcycle passenger injured in collision with pedal cycle in traffic accident
        • V21.51 Electric (assisted) bicycle passenger injured in collision with pedal cycle in traffic accident
        • V21.51XA Electric (assisted) bicycle passenger injured in collision with pedal cycle in traffic accident, initial encounter
        • V21.51XD Electric (assisted) bicycle passenger injured in collision with pedal cycle in traffic accident, subsequent encounter
        • V21.51XS Electric (assisted) bicycle passenger injured in collision with pedal cycle in traffic accident, sequela
        • V21.59 Other motorcycle passenger injured in collision with pedal cycle in traffic accident
        • V21.59XA Other motorcycle passenger injured in collision with pedal cycle in traffic accident, initial encounter
        • V21.59XD Other motorcycle passenger injured in collision with pedal cycle in traffic accident, subsequent encounter
        • V21.59XS Other motorcycle passenger injured in collision with pedal cycle in traffic accident, sequela
        • V21.9 Unspecified motorcycle rider injured in collision with pedal cycle in traffic accident
        • V21.91 Unspecified electric (assisted) bicycle rider injured in collision with pedal cycle in traffic accident
        • V21.91XA Unspecified electric (assisted) bicycle rider injured in collision with pedal cycle in traffic accident, initial encounter
        • V21.91XD Unspecified electric (assisted) bicycle rider injured in collision with pedal cycle in traffic accident, subsequent encounter
        • V21.91XS Unspecified electric (assisted) bicycle rider injured in collision with pedal cycle in traffic accident, sequela
        • V21.99 Unspecified rider of other motorcycle injured in collision with pedal cycle in traffic accident
        • V21.99XA Unspecified rider of other motorcycle injured in collision with pedal cycle in traffic accident, initial encounter
        • V21.99XD Unspecified rider of other motorcycle injured in collision with pedal cycle in traffic accident, subsequent encounter
        • V21.99XS Unspecified rider of other motorcycle injured in collision with pedal cycle in traffic accident, sequela

Instructional Notations

7th Character Note

Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.

  • The appropriate 7th character is to be added to each code from category V21

7th Character

Indicates that a seventh character is to be assigned to codes in a subcategory.

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela