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ICD-10 Guide
ICD-10 CodesV05.19

V05.19

Billable

Pedestrian with other conveyance 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 V05.19 is a billable code used to indicate a diagnosis of pedestrian with other conveyance injured in collision with railway train or railway vehicle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V05.19 is used to classify injuries sustained by pedestrians who are using other forms of conveyance, such as bicycles, scooters, or skateboards, when they are involved in a collision with a railway train or railway vehicle during a traffic accident. This code captures the external cause of morbidity and mortality related to such incidents, which can result in severe injuries or fatalities. Accurate coding is essential for tracking injury patterns, understanding public health implications, and facilitating appropriate resource allocation for prevention strategies. The code is particularly relevant in urban settings where pedestrian traffic and railway systems intersect, highlighting the need for safety measures and awareness campaigns to reduce the risk of such accidents.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the type of conveyance used by the pedestrian.
  • Identifying the specific circumstances of the collision.
  • Differentiating between various external cause codes for similar incidents.
  • Ensuring accurate documentation of the event to support the code.

Audit Risk Factors

  • Inadequate documentation of the type of conveyance involved.
  • Failure to specify the circumstances of the collision.
  • Misclassification of the event as a non-traffic accident.
  • Inconsistent coding practices among different coders.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must clearly document the mechanism of injury, type of conveyance, and details of the collision.

Common Clinical Scenarios

Patients presenting with trauma after being struck by a train while riding a bicycle or scooter.

Billing Considerations

Consider the potential for multiple injuries and the need for comprehensive documentation to support all diagnoses.

Trauma Surgery

Documentation Requirements

Trauma registries require detailed accounts of the incident, including the mechanism of injury and any pre-existing conditions.

Common Clinical Scenarios

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

Billing Considerations

Accurate coding is crucial for trauma outcomes analysis and resource allocation.

Coding Guidelines

Inclusion Criteria

Use V05.19 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to document the specific circumstances of the injury, including the type of conveyance and the nature of the collision

Exclusion Criteria

Do NOT use V05.19 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 train collision.

Documentation Requirements

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

Specialty Considerations

Emergency medicine specialists should ensure comprehensive notes are included.

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 and facilitating better public health tracking of injuries related to railway accidents.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy and facilitating better public health tracking of injuries related to railway accidents.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy and facilitating better public health tracking of injuries related to railway accidents.

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 V05.19?

Documentation should include the type of conveyance used by the pedestrian, the circumstances of the collision, and any relevant details about the accident, such as location and time.