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v1.0.0
ICD-10 Guide
ICD-10 CodesV15.4

V15.4

Billable

Pedal cycle driver 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 V15.4 is a billable code used to indicate a diagnosis of pedal cycle driver injured in collision with railway train or railway vehicle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V15.4 is used to classify injuries sustained by a pedal cycle driver involved in a collision with a railway train or railway vehicle during a traffic accident. This code is crucial for capturing the external causes of morbidity and mortality related to traffic incidents involving bicycles and trains. Such collisions can result in severe injuries, including fractures, traumatic brain injuries, and other life-threatening conditions. Accurate coding of these incidents is essential for public health data collection, resource allocation, and injury prevention strategies. The code is typically used in emergency departments, trauma centers, and outpatient settings where the patient presents with injuries resulting from such accidents. Proper documentation of the circumstances surrounding the incident, including the location, time, and nature of the collision, is vital for accurate coding and subsequent analysis of injury patterns and trends.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident circumstances
  • Differentiation between types of vehicles involved
  • Potential for multiple injuries requiring additional codes
  • Variability in local traffic laws and definitions of accidents

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Failure to capture all injuries sustained
  • Incorrect linkage to primary diagnosis codes
  • Misclassification of the type of vehicle involved

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed account of the accident, including time, location, and mechanism of injury.

Common Clinical Scenarios

Patients presenting with traumatic injuries after a bicycle-train collision.

Billing Considerations

Ensure that all injuries are documented and coded, including secondary injuries that may not be immediately apparent.

Trauma Surgery

Documentation Requirements

Comprehensive trauma assessment and documentation of all injuries sustained.

Common Clinical Scenarios

Trauma cases involving multiple injuries from a collision with a train.

Billing Considerations

Consider the need for additional codes to capture all injuries and their severity.

Coding Guidelines

Inclusion Criteria

Use V15.4 When
  • According to the ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is essential to report the external cause code in the secondary position to the primary diagnosis code that reflects the nature of the injury

Exclusion Criteria

Do NOT use V15.4 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 bicycle-train collision.

Documentation Requirements

Document the severity of the injuries and the complexity of the visit.

Specialty Considerations

Emergency medicine specialists should ensure that all relevant details 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, including those related to bicycle accidents. This specificity aids in better tracking and analysis of injury patterns, which can inform public health initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those related to bicycle accidents. This specificity aids in better tracking and analysis of injury patterns, which can inform public health initiatives.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those related to bicycle accidents. This specificity aids in better tracking and analysis of injury patterns, which can inform public health initiatives.

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 V15.4?

Use code V15.4 when documenting injuries sustained by a pedal cycle driver involved in a collision with a railway train or railway vehicle during a traffic accident. Ensure that the circumstances of the accident are well-documented.