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v1.0.0
ICD-10 Guide
ICD-10 CodesV05.91

V05.91

Billable

Pedestrian on roller-skates injured in collision with railway train or railway vehicle, unspecified whether traffic or nontraffic accident

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

Code Description

ICD-10 V05.91 is a billable code used to indicate a diagnosis of pedestrian on roller-skates injured in collision with railway train or railway vehicle, unspecified whether traffic or nontraffic accident.

Key Diagnostic Point:

This code is used to classify injuries sustained by individuals who are on roller-skates and are involved in a collision with a railway train or vehicle. The code does not specify whether the incident occurred in a traffic context (e.g., on a road) or a non-traffic context (e.g., in a railway yard). This distinction is crucial for public health data collection and analysis, as it helps identify patterns of injuries related to specific environments. The injuries can range from minor to severe, including fractures, lacerations, or even fatalities, depending on the speed of the train and the circumstances of the collision. Accurate coding is essential for understanding the epidemiology of such incidents and for implementing preventive measures. This code is particularly relevant in urban areas where roller-skating is popular and where railway systems are prevalent, necessitating awareness of safety measures among skaters.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in determining traffic vs. nontraffic context
  • Need for precise documentation of the incident
  • Potential for multiple injuries requiring additional codes
  • Variability in local laws regarding roller-skating near railway tracks

Audit Risk Factors

  • Inadequate documentation of the circumstances surrounding the accident
  • Failure to specify whether the incident was traffic or nontraffic
  • Misclassification of the type of injury sustained
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, location of the incident, and any witness accounts to support the coding.

Common Clinical Scenarios

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

Billing Considerations

Emergency physicians should ensure that all relevant details are captured in the medical record to support accurate coding.

Trauma Surgery

Documentation Requirements

Trauma surgeons need to document the extent of injuries, surgical interventions, and any complications arising from the incident.

Common Clinical Scenarios

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

Billing Considerations

Trauma documentation must include the mechanism of injury and any pre-existing conditions that may affect recovery.

Coding Guidelines

Inclusion Criteria

Use V05.91 When
  • Coders should refer to the official ICD
  • CM coding guidelines, particularly those related to external causes of morbidity
  • It is essential to capture the full context of the injury, including the location and circumstances of the accident

Exclusion Criteria

Do NOT use V05.91 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

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

Documentation Requirements

Documentation must include the mechanism of injury, vital signs, and any treatments provided.

Specialty Considerations

Emergency medicine specialists should ensure that all relevant details are captured to support the level of service billed.

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, improving data collection and analysis for public health initiatives. This specificity aids in identifying trends and implementing preventive measures.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data collection and analysis for public health initiatives. This specificity aids in identifying trends and implementing preventive measures.

Reimbursement & Billing Impact

reimbursement and for tracking 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 I document to support the use of V05.91?

You should document the mechanism of injury, the context of the accident (traffic vs. nontraffic), the location of the incident, and any witness accounts. Detailed descriptions of the injuries sustained are also crucial.