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ICD-10 Guide
ICD-10 CodesV05.12

V05.12

Billable

Pedestrian on skateboard 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 V05.12 is a billable code used to indicate a diagnosis of pedestrian on skateboard injured in collision with railway train or railway vehicle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V05.12 is used to classify injuries sustained by pedestrians riding skateboards who are involved in collisions with railway trains or railway vehicles during traffic accidents. This code is particularly relevant in urban settings where skateboard use is common, and where intersections with railway lines pose significant risks. Injuries can range from minor abrasions to severe trauma, including fractures, head injuries, and internal injuries, depending on the speed of the train and the circumstances of the collision. Accurate coding is essential for tracking injury patterns, understanding the epidemiology of such accidents, and facilitating appropriate public health interventions. Documentation should include details about the incident, the mechanism of injury, and the specific injuries sustained to ensure proper coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the incident circumstances.
  • Differentiation between various types of vehicles involved.
  • Potential for multiple injuries requiring additional codes.
  • Variability in local traffic laws and regulations affecting incident reporting.

Audit Risk Factors

  • Inadequate documentation of the incident details.
  • Misclassification of the type of vehicle involved.
  • Failure to capture all injuries sustained.
  • Inconsistent coding practices across different healthcare providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, patient presentation, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with trauma after being struck by a train while skateboarding, requiring imaging and potential surgical intervention.

Billing Considerations

Consideration of the patient's age, skateboard use, and any contributing factors such as alcohol or drug use.

Trauma Surgery

Documentation Requirements

Detailed operative reports and post-operative notes are necessary to capture the extent of injuries and surgical interventions.

Common Clinical Scenarios

Severe injuries requiring surgical repair, such as fractures or internal injuries from a collision.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use V05.12 When
  • Follow the ICD
  • CM coding guidelines for external causes of morbidity
  • Ensure that the code is used in conjunction with the appropriate injury codes to provide a complete picture of the patient's condition

Exclusion Criteria

Do NOT use V05.12 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used for patients presenting with severe injuries from a collision.

Documentation Requirements

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

Specialty Considerations

Emergency medicine providers should ensure that all aspects of the patient's condition are 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, improving data collection and analysis for public health initiatives related to pedestrian injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data collection and analysis for public health initiatives related to pedestrian injuries.

Reimbursement & Billing Impact

reimbursement and tracking injury trends.

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 V05.12?

Documentation should include details about the incident, such as the location, the type of vehicle involved, the circumstances leading to the collision, and the specific injuries sustained by the patient.