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v1.0.0
ICD-10 Guide
ICD-10 CodesChapter 20: External causes of morbidityV15

V15

Billable

Pedal cycle rider injured in collision with railway train or railway vehicle

Chapter 20:External causes of morbidity

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

Code Description

ICD-10 V15 is a billable code used to indicate a diagnosis of pedal cycle rider injured in collision with railway train or railway vehicle.

Key Diagnostic Point:

The ICD-10 code V15 is designated for incidents where a pedal cycle rider is involved in a collision with a railway train or railway vehicle. This code captures the external cause of morbidity and mortality associated with such accidents, which can lead to severe injuries or fatalities. The clinical context often involves high-impact collisions, where the cyclist may suffer from traumatic brain injuries, fractures, or other life-threatening conditions. Accurate coding is essential for tracking injury patterns, facilitating public health initiatives, and ensuring appropriate resource allocation for trauma care. Use cases for this code include emergency department visits following such accidents, hospital admissions for surgical interventions, and rehabilitation services for recovery. Documentation should clearly indicate the circumstances of the accident, including the location, time, and contributing factors, to support the use of this specific external cause code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident circumstances
  • Potential for multiple external cause codes to be applicable
  • Variability in injury severity and associated codes
  • Differentiation between similar external causes (e.g., collisions with vehicles)

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Failure to capture all relevant external cause codes
  • Misclassification of the type of vehicle involved
  • Inconsistent coding practices among different providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency physicians must document the mechanism of injury, including the type of railway vehicle and the circumstances leading to the collision.

Common Clinical Scenarios

Patients presenting with head trauma, fractures, or lacerations following a collision with a train.

Billing Considerations

Consideration of potential secondary injuries from falls or secondary collisions.

Trauma Surgery

Documentation Requirements

Trauma surgeons need detailed accounts of the injury mechanism, including the speed of the train and the cyclist's protective gear.

Common Clinical Scenarios

Surgical interventions for severe fractures or internal injuries resulting from high-impact collisions.

Billing Considerations

Documentation should include any pre-existing conditions that may affect recovery.

Coding Guidelines

Inclusion Criteria

Use V15 When
  • Coders should follow official ICD
  • CM guidelines, ensuring that the external cause code is reported in conjunction with the primary diagnosis code
  • The circumstances of the accident must be documented clearly to justify the use of V15

Exclusion Criteria

Do NOT use V15 When
No specific exclusions found.

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 provided, including details of the injury and treatment plan.

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 accuracy for public health tracking and resource allocation in trauma care.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy for public health tracking and resource allocation in trauma care.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy for public health tracking and resource allocation in trauma care.

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

When should V15 be used?

V15 should be used when documenting injuries sustained by a pedal cycle rider involved in a collision with a railway train or vehicle, ensuring that all relevant details of the incident are captured.