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ICD-10 Guide
ICD-10 CodesV05.00

V05.00

Billable

Pedestrian on foot injured in collision with railway train or railway vehicle in nontraffic accident

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

Code Description

ICD-10 V05.00 is a billable code used to indicate a diagnosis of pedestrian on foot injured in collision with railway train or railway vehicle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V05.00 is used to classify injuries sustained by pedestrians who are struck by a railway train or railway vehicle in a nontraffic accident scenario. This code is particularly relevant in cases where the pedestrian is not involved in a vehicular traffic situation, such as being on a railway platform or near a train station. Clinical scenarios may include individuals who are walking along railway tracks, engaging in recreational activities near railways, or working in proximity to railway operations. The injuries can range from minor to severe, including fractures, lacerations, and traumatic brain injuries, depending on the circumstances of the collision. Accurate coding is essential for tracking morbidity and mortality associated with such incidents, which can inform public health initiatives aimed at improving safety around railway systems.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the context of the accident (nontraffic vs. traffic)
  • Differentiating between types of railway vehicles involved
  • Documenting the specific circumstances leading to the injury
  • Understanding the distinction between pedestrian injuries and other types of injuries

Audit Risk Factors

  • Inadequate documentation of the accident's circumstances
  • Misclassification of the accident type (traffic vs. nontraffic)
  • Failure to capture all relevant external cause codes
  • Inconsistent use of codes across different healthcare settings

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, location of the incident, and any contributing factors such as intoxication or distraction.

Common Clinical Scenarios

Patients presenting with trauma after being struck by a train while walking near tracks or on a platform.

Billing Considerations

Emergency providers should ensure that the external cause code is linked to the primary diagnosis for accurate billing and reporting.

Trauma Surgery

Documentation Requirements

Trauma surgeons need detailed accounts of the injury mechanism, including the type of railway vehicle and the patient's position at the time of the accident.

Common Clinical Scenarios

Trauma cases involving severe injuries from train collisions, requiring surgical intervention.

Billing Considerations

Accurate coding is crucial for trauma registries and public health data, necessitating thorough documentation.

Coding Guidelines

Inclusion Criteria

Use V05.00 When
  • Coders should refer to the official ICD
  • CM coding guidelines, ensuring that external cause codes are reported in conjunction with the appropriate injury codes
  • The external cause code should be sequenced after the injury code

Exclusion Criteria

Do NOT use V05.00 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99285CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a patient presents with severe injuries from a train collision.

Documentation Requirements

Detailed documentation of the patient's condition and treatment provided.

Specialty Considerations

Emergency medicine specialists should ensure that the visit is coded accurately based on the severity of the injury.

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, improving data accuracy for public health tracking and safety initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy for public health tracking and safety initiatives.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy for public health tracking and safety initiatives.

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 is the difference between V05.00 and V05.01?

V05.00 is used for nontraffic accidents involving pedestrians and trains, while V05.01 is for traffic-related incidents. Accurate documentation is essential to determine the correct code.