V28.91XA ICD-10-CM Code: Unspecified electric (assisted) bicycle rider injured in noncollision transport accident in traffic accident, initial encounter
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- 7th character
- Required — see the character table on this page
- Tabular directives
- 10 inclusion terms · 1 Excludes1
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for V28.91XA in the official ICD-10-CM tabular list, quoted as published.
Notes without a marker are published on V28.91XA itself; “inherited from” names the category or block whose note applies here.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- fall or thrown from motorcycle (without antecedent collision) inherited from V28
- overturning motorcycle NOS inherited from V28
- overturning motorcycle without collision inherited from V28
- electric bicycle inherited from V20-V29
- e-bike inherited from V20-V29
- e-bicycle inherited from V20-V29
- moped inherited from V20-V29
- motorcycle with sidecar inherited from V20-V29
- motorized bicycle inherited from V20-V29
- motor scooter inherited from V20-V29
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- three-wheeled motor vehicle (V30-V39) Compare V28.91XA vs V30 →
Source: inherited from V20-V29
7th Character Guide
"The appropriate 7th character is to be added to each code from category V28"
- A — initial encounter (this page’s code)
- D — subsequent encounter
- S — sequela
How the encounter character is assigned. “Initial encounter” means the patient is receiving active treatment for the condition — it is not limited to the first visit, and a different or new provider giving active treatment still assigns it. “Subsequent encounter” covers care during the healing or recovery phase after active treatment. “Sequela” is for complications or conditions that arise as a direct result of the original condition.
ICD-10-CM Official Guidelines for Coding and Reporting, Section I.C.19.a (paraphrased by MedCoder).
Variant codes in this family
Character meanings are CMS's official 7th-character extensions for this family, as carried in each variant code's official description; variant codes are registry rows. The explanation of how the encounter character is assigned is MedCoder editorial, distinct from the official content above it.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Verify Before Coding
- Principal-diagnosis restriction. External cause of morbidity codes (V, W, X and Y) describe the circumstance that caused an injury, not the condition treated. The Medicare Code Editor rejects them as a principal diagnosis; sequence the injury or condition first and report this code as secondary.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
Other codes that name V28.91XA or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 12 Excludes1 notes: V00.14 — Scooter (nonmotorized) accident (via V28.-), V30 — Occupant of three-wheeled motor vehicle injured in collision with pedestrian or animal (via V28.-), V30-V39 — Occupant of three-wheeled motor vehicle injured in transport accident (V30-V39) (via V28.-), V31 — Occupant of three-wheeled motor vehicle injured in collision with pedal cycle (via V28.-), V32 — Occupant of three-wheeled motor vehicle injured in collision with two- or three-wheeled motor vehicle (via V28.-), V33 — Occupant of three-wheeled motor vehicle injured in collision with car, pick-up truck or van (via V28.-), V34 — Occupant of three-wheeled motor vehicle injured in collision with heavy transport vehicle or bus (via V28.-), V35 — Occupant of three-wheeled motor vehicle injured in collision with railway train or railway vehicle (via V28.-), V36 — Occupant of three-wheeled motor vehicle injured in collision with other nonmotor vehicle (via V28.-), V37 — Occupant of three-wheeled motor vehicle injured in collision with fixed or stationary object (via V28.-), V38 — Occupant of three-wheeled motor vehicle injured in noncollision transport accident (via V28.-), V39 — Occupant of three-wheeled motor vehicle injured in other and unspecified transport accidents (via V28.-).
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Clinical classification (AHRQ CCSR):EXT008 — External cause codes: pedal cyclist; not MVT; initial encounter; EXT020 — External cause codes: intent of injury, accidental/unintentional.
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical categories (External cause codes: pedal cyclist; not MVT; initial encounter, External cause codes: intent of injury, accidental/unintentional).
V27.21XA — Unspecified electric (assisted) bicycle rider injured in collision with fixed or stationary object in nontraffic accident, initial encounter, V27.31XA — Person boarding or alighting an electric (assisted) bicycle injured in collision with fixed or stationary object, initial encounter, V27.41XA — Electric (assisted) bicycle driver injured in collision with fixed or stationary object in traffic accident, initial encounter, V27.51XA — Electric (assisted) bicycle passenger injured in collision with fixed or stationary object in traffic accident, initial encounter, V27.91XA — Unspecified electric (assisted) bicycle rider injured in collision with fixed or stationary object in traffic accident, initial encounter, V28.01XA — Electric (assisted) bicycle driver injured in noncollision transport accident in nontraffic accident, initial encounter, V28.11XA — Electric (assisted) bicycle passenger injured in noncollision transport accident in nontraffic accident, initial encounter, V28.21XA — Unspecified electric (assisted) bicycle rider injured in noncollision transport accident in nontraffic accident, initial encounter, V28.31XA — Person boarding or alighting an electric (assisted) bicycle injured in noncollision transport accident, initial encounter, V28.41XA — Electric (assisted) bicycle driver injured in noncollision transport accident in traffic accident, initial encounter, V28.51XA — Electric (assisted) bicycle passenger injured in noncollision transport accident in traffic accident, initial encounter, V29.001A — Electric (assisted) bicycle driver injured in collision with unspecified motor vehicles in nontraffic accident, initial encounter, V29.091A — Electric (assisted) bicycle driver injured in collision with other motor vehicles in nontraffic accident, initial encounter, V29.101A — Electric (assisted) bicycle passenger injured in collision with unspecified motor vehicles in nontraffic accident, initial encounter, V29.191A — Electric (assisted) bicycle passenger injured in collision with other motor vehicles in nontraffic accident, initial encounter, V29.201A — Unspecified electric (assisted) bicycle rider injured in collision with unspecified motor vehicles in nontraffic accident, initial encounter, V29.291A — Unspecified electric (assisted) bicycle rider injured in collision with other motor vehicles in nontraffic accident, initial encounter, V29.31XA — Electric (assisted) bicycle (driver) (passenger) injured in unspecified nontraffic accident, initial encounter, V29.811A — Electric (assisted) bicycle rider (driver) (passenger) injured in transport accident with military vehicle, initial encounter, V29.881A — Electric (assisted) bicycle rider (driver) (passenger) injured in other specified transport accidents, initial encounter, +2287 more
Contextual Map
Every relationship of V28.91XA in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run V28.91XA with these 8 related codes in Claim Check
Hierarchy
- V00-Y99 — Chapter 20: External Causes of Morbidity (V00-Y99) (V00-Y99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- V20-V29 — Motorcycle rider injured in transport accident[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Referenced by Excludes1 notes (12)
- V00.14 — Scooter (nonmotorized) accident[Excludes1](via V28.-): “motor scooter accident (V20-V29)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- V30 — Occupant of three-wheeled motor vehicle injured in collision with pedestrian or animal[Excludes1](via V28.-): “motorcycle with sidecar (V20-V29)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- V30-V39 — Occupant of three-wheeled motor vehicle injured in transport accident (V30-V39)[Excludes1](via V28.-): “motorcycle with sidecar (V20-V29)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- V31 — Occupant of three-wheeled motor vehicle injured in collision with pedal cycle[Excludes1](via V28.-): “motorcycle with sidecar (V20-V29)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- V32 — Occupant of three-wheeled motor vehicle injured in collision with two- or three-wheeled motor vehicle[Excludes1](via V28.-): “motorcycle with sidecar (V20-V29)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- V33 — Occupant of three-wheeled motor vehicle injured in collision with car, pick-up truck or van[Excludes1](via V28.-): “motorcycle with sidecar (V20-V29)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- V34 — Occupant of three-wheeled motor vehicle injured in collision with heavy transport vehicle or bus[Excludes1](via V28.-): “motorcycle with sidecar (V20-V29)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- V35 — Occupant of three-wheeled motor vehicle injured in collision with railway train or railway vehicle[Excludes1](via V28.-): “motorcycle with sidecar (V20-V29)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
- and 4 more
Clinical classification (CCSR)
- EXT008 — External cause codes: pedal cyclist; not MVT; initial encounter[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
- EXT020 — External cause codes: intent of injury, accidental/unintentional[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
Nearest codes (40)
- V28 — Motorcycle rider injured in noncollision transport accident[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- V28.21XS — Unspecified electric (assisted) bicycle rider injured in noncollision transport accident in nontraffic accident, sequela[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- V28.29 — Unspecified rider of other motorcycle injured in noncollision transport accident in nontraffic accident[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- V28.29XA — Unspecified rider of other motorcycle injured in noncollision transport accident in nontraffic accident, initial encounter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- V28.29XD — Unspecified rider of other motorcycle injured in noncollision transport accident in nontraffic accident, subsequent encounter[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- V28.29XS — Unspecified rider of other motorcycle injured in noncollision transport accident in nontraffic accident, sequela[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- V28.3 — Person boarding or alighting a motorcycle injured in noncollision transport accident[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- V28.31 — Person boarding or alighting an electric (assisted) bicycle injured in noncollision transport accident[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 32 more
Change history
- FY2023 — Added to the code set[Change history]— CMS release files (code change ledger) · icd10cm-fy2023
Common coding questions
Does V28.91XA require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category V28.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Change history
- FY2023 — October 1, 2022Added to the code setUnspecified electric (assisted) bicycle rider injured in noncollision transport accident in traffic accident, initial encounterFY2023 changes
Nearest Codes in This Family
Official ICD-10-CM classifications closest to V28.91XA in its code family, with their registry titles.
- V28.59XA — Other motorcycle passenger injured in noncollision transport accident in traffic accident, initial encounter
- V28.59XD — Other motorcycle passenger injured in noncollision transport accident in traffic accident, subsequent encounter
- V28.59XS — Other motorcycle passenger injured in noncollision transport accident in traffic accident, sequela
- V28.9 — Unspecified motorcycle rider injured in noncollision transport accident in traffic accident
- V28.91 — Unspecified electric (assisted) bicycle rider injured in noncollision transport accident in traffic accident
- V28.91XD — Unspecified electric (assisted) bicycle rider injured in noncollision transport accident in traffic accident, subsequent encounter
- V28.91XS — Unspecified electric (assisted) bicycle rider injured in noncollision transport accident in traffic accident, sequela
- V28.99 — Unspecified rider of other motorcycle injured in noncollision transport accident in traffic accident
- V28.99XA — Unspecified rider of other motorcycle injured in noncollision transport accident in traffic accident, initial encounter
- V28.99XD — Unspecified rider of other motorcycle injured in noncollision transport accident in traffic accident, subsequent encounter