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ICD-10 Guide
ICD-10 CodesV05.01

V05.01

Billable

Pedestrian on roller-skates 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 V05.01 is a billable code used to indicate a diagnosis of pedestrian on roller-skates injured in collision with railway train or railway vehicle in nontraffic accident.

Key Diagnostic Point:

This code is used to classify injuries sustained by individuals who are using roller-skates and are involved in a collision with a railway train or railway vehicle, specifically in a nontraffic context. Such incidents may occur in areas where roller-skating is permitted near railway tracks, such as parks or recreational areas. The injuries can range from minor abrasions to severe trauma, including fractures or head injuries, depending on the speed of the train and the circumstances of the collision. Accurate coding of this incident is crucial for understanding the epidemiology of roller-skating injuries and for implementing safety measures to prevent future occurrences. Documentation should include details about the circumstances of the accident, the location, and the nature of the injuries sustained.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of the external cause code
  • Need for detailed documentation of the incident
  • Potential for confusion with traffic-related codes
  • Variability in injury severity and types

Audit Risk Factors

  • Inadequate documentation of the incident details
  • Misclassification of the accident type (traffic vs. nontraffic)
  • Failure to specify the use of roller-skates
  • Inconsistent reporting of injury severity

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly describe the mechanism of injury, including the use of roller-skates and the nature of the collision.

Common Clinical Scenarios

Patients presenting with injuries from roller-skating accidents near railway tracks, including fractures, lacerations, and concussions.

Billing Considerations

Ensure that the external cause is clearly documented to avoid misclassification with traffic-related injuries.

Trauma Surgery

Documentation Requirements

Trauma notes must detail the injury mechanism, including specifics about the collision and any surgical interventions performed.

Common Clinical Scenarios

Trauma cases involving severe injuries from roller-skating accidents, requiring surgical intervention.

Billing Considerations

Accurate coding is essential for trauma registries and for tracking injury patterns in nontraffic accidents.

Coding Guidelines

Inclusion Criteria

Use V05.01 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be reported in conjunction with the primary diagnosis code
  • It is essential to document the circumstances of the injury, including the use of roller
  • skates and the nature of the collision
  • The code should be used only when the injury is specifically due to a collision with a railway vehicle

Exclusion Criteria

Do NOT use V05.01 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used for patients presenting with injuries from roller-skating accidents.

Documentation Requirements

Documentation must support the level of service provided, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine specialists should ensure that the external cause is documented.

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, including detailed circumstances surrounding roller-skating injuries. This specificity aids in better tracking and prevention efforts.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, including detailed circumstances surrounding roller-skating injuries. This specificity aids in better tracking and prevention efforts.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, including detailed circumstances surrounding roller-skating injuries. This specificity aids in better tracking and prevention efforts.

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 should be documented to use code V05.01?

Documentation should include the mechanism of injury, the use of roller-skates, the nature of the collision with the railway vehicle, and the location of the incident.