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v1.0.0
ICD-10 Guide
ICD-10 CodesV15.3

V15.3

Billable

Person boarding or alighting a pedal cycle injured in collision with railway train or railway vehicle

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

Code Description

ICD-10 V15.3 is a billable code used to indicate a diagnosis of person boarding or alighting a pedal cycle injured in collision with railway train or railway vehicle.

Key Diagnostic Point:

The ICD-10 code V15.3 is used to classify injuries sustained by individuals who are boarding or alighting from a pedal cycle and are subsequently involved in a collision with a railway train or railway vehicle. This code captures the external cause of morbidity and mortality associated with such incidents, which can lead to significant injuries or fatalities. The context of this code is particularly relevant in urban areas where cycling is common and railway systems are prevalent. Injuries may range from minor abrasions to severe trauma, including fractures, head injuries, or even death. Accurate coding is essential for public health data collection, injury prevention strategies, and resource allocation for emergency services. This code is part of a broader effort to understand and mitigate risks associated with cycling and railway interactions, emphasizing the need for safety measures in both transportation modalities.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires precise documentation of the circumstances of the injury.
  • Differentiating between types of pedal cycles (e.g., standard bicycles vs. electric bikes).
  • Need for accurate reporting of the location and nature of the collision.
  • Potential for multiple external cause codes to be applicable.

Audit Risk Factors

  • Inadequate documentation of the incident leading to the injury.
  • Misclassification of the type of vehicle involved in the collision.
  • Failure to capture the sequence of events (boarding/alighting).
  • Inconsistent use of external cause codes across different encounters.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, including details about the collision and the patient's actions leading up to the event.

Common Clinical Scenarios

Patients presenting with trauma after being struck by a train while cycling, requiring immediate assessment and intervention.

Billing Considerations

Consideration of additional injuries that may not be immediately apparent, necessitating thorough examination and imaging.

Trauma Surgery

Documentation Requirements

Trauma surgeons need detailed accounts of the injury mechanism, including the speed of the train and the patient's position at the time of impact.

Common Clinical Scenarios

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

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use V15.3 When
  • According to the ICD
  • CM Official Guidelines for Coding and Reporting, external cause codes should be used in conjunction with the appropriate injury codes
  • It is important to report the external cause code in the secondary position to the injury code to provide context for the injury

Exclusion Criteria

Do NOT use V15.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used when a patient presents to the emergency department with injuries from a train collision.

Documentation Requirements

Documentation must include details of the injury, treatment provided, and any follow-up care needed.

Specialty Considerations

Emergency medicine specialists should ensure that all relevant details of the incident are captured.

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. V15.3 provides a clear framework for understanding the risks associated with cycling and railway interactions.

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. V15.3 provides a clear framework for understanding the risks associated with cycling and railway interactions.

Reimbursement & Billing Impact

reimbursement and compliance.

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 I use code V15.3?

Use code V15.3 when documenting injuries sustained by a person boarding or alighting from a pedal cycle who is involved in a collision with a railway train or vehicle. Ensure that the documentation clearly supports this scenario.