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v1.0.0
ICD-10 Guide
ICD-10 CodesV15.1

V15.1

Billable

Pedal cycle passenger injured in collision with railway train or railway vehicle in nontraffic accident

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

Code Description

ICD-10 V15.1 is a billable code used to indicate a diagnosis of pedal cycle passenger injured in collision with railway train or railway vehicle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V15.1 is used to classify injuries sustained by a pedal cycle passenger involved in a collision with a railway train or railway vehicle in a nontraffic accident. This code is particularly relevant in scenarios where the cyclist is not on a public roadway but rather in a location where a railway vehicle is present, such as near a train station or crossing. The injuries can range from minor abrasions to severe trauma, 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 ensuring appropriate resource allocation for prevention and treatment. Documentation should include details about the circumstances of the accident, the type of injuries sustained, and any relevant environmental factors that may have contributed to the incident.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact circumstances of the accident can be challenging.
  • Differentiating between traffic and nontraffic accidents requires careful consideration.
  • Injuries may vary widely, necessitating detailed documentation.
  • Potential overlap with other external cause codes may lead to confusion.

Audit Risk Factors

  • Inadequate documentation of the accident's circumstances.
  • Misclassification of the accident type (traffic vs. nontraffic).
  • Failure to specify the nature of the injuries sustained.
  • Inconsistent coding practices among different coders.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly outline the mechanism of injury, vital signs, and initial treatment provided.

Common Clinical Scenarios

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

Billing Considerations

Ensure that the documentation reflects the nontraffic nature of the accident to avoid misclassification.

Trauma Surgery

Documentation Requirements

Detailed operative reports and injury assessments are necessary to capture the extent of trauma.

Common Clinical Scenarios

Severe injuries requiring surgical intervention, such as orthopedic repairs or internal organ management.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use V15.1 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to capture the specific circumstances of the injury, including the location and nature of the accident

Exclusion Criteria

Do NOT use V15.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used for patients presenting with moderate injuries from a nontraffic accident involving a train.

Documentation Requirements

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

Specialty Considerations

Emergency medicine specialists should ensure that the visit is appropriately coded based on the complexity of the case.

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 nontraffic accidents involving railway vehicles. 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 nontraffic accidents involving railway vehicles. 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 nontraffic accidents involving railway vehicles. 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 I document to support the use of V15.1?

Document the specifics of the accident, including the location, the involvement of the railway vehicle, and the nature of the injuries sustained. Ensure clarity on the nontraffic nature of the incident.