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ICD-10 Guide
ICD-10 CodesV05.11

V05.11

Billable

Pedestrian on roller-skates injured in collision with railway train or railway vehicle in traffic accident

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

Code Description

ICD-10 V05.11 is a billable code used to indicate a diagnosis of pedestrian on roller-skates injured in collision with railway train or railway vehicle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V05.11 is used to classify injuries sustained by pedestrians who are roller-skating and are involved in a collision with a railway train or railway vehicle during a traffic accident. This code is particularly relevant in urban settings where roller-skating is a common recreational activity, and where pedestrian traffic may intersect with railway lines. 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 public health data collection, injury prevention strategies, and resource allocation for emergency services. It is essential for healthcare providers to document the circumstances of the accident thoroughly to ensure appropriate coding and to facilitate the analysis of trends in pedestrian injuries related to railway incidents.

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 similar codes
  • Variability in injury severity

Audit Risk Factors

  • Inadequate documentation of the circumstances of the accident
  • Misclassification of the type of vehicle involved
  • Failure to capture the mechanism of injury accurately
  • Inconsistent use of external cause codes across providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, including details about the roller-skating activity and the collision with the train.

Common Clinical Scenarios

Patients presenting with fractures, lacerations, or head injuries after being struck by a train while roller-skating.

Billing Considerations

Consideration of the patient's location relative to the railway and the speed of the train at the time of the accident.

Trauma Surgery

Documentation Requirements

Trauma surgeons should document the extent of injuries and any surgical interventions performed, along with the external cause of the injury.

Common Clinical Scenarios

Severe trauma cases requiring surgical intervention due to collisions with trains.

Billing Considerations

Documentation should include the mechanism of injury and any pre-existing conditions that may affect recovery.

Coding Guidelines

Inclusion Criteria

Use V05.11 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is important to capture the full context of the injury, including the location and activity at the time of the accident

Exclusion Criteria

Do NOT use V05.11 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, level 3

Clinical Scenario

Used when a patient presents to the emergency department with injuries from a roller-skating accident involving a train.

Documentation Requirements

Documentation must include the patient's history, examination findings, and treatment provided.

Specialty Considerations

Emergency medicine providers should ensure that the mechanism of injury is clearly 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 of injuries, including those related to roller-skating accidents. This specificity aids in better tracking and analysis of injury patterns.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those related to roller-skating accidents. This specificity aids in better tracking and analysis of injury patterns.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those related to roller-skating accidents. This specificity aids in better tracking and analysis of injury patterns.

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 support the use of V05.11?

Documentation should include details about the roller-skating activity, the circumstances of the collision with the train, the location of the incident, and the nature of the injuries sustained.