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v1.0.0
ICD-10 Guide
ICD-10 CodesV15.9

V15.9

Billable

Unspecified pedal cyclist 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 V15.9 is a billable code used to indicate a diagnosis of unspecified pedal cyclist injured in collision with railway train or railway vehicle in traffic accident.

Key Diagnostic Point:

This code is used to classify injuries sustained by pedal cyclists involved in collisions with railway trains or railway vehicles during traffic accidents. Such incidents can lead to severe injuries or fatalities due to the significant mass and speed of trains compared to cyclists. The code is particularly relevant in urban areas where railway crossings intersect with bicycle paths. Accurate documentation of the circumstances surrounding the accident, including the location, time, and nature of the collision, is essential for proper coding and analysis of injury patterns. This code falls under external cause codes, which are critical for understanding the epidemiology of injuries and guiding public health interventions aimed at reducing such incidents.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in documentation regarding the specifics of the accident.
  • Variability in the severity of injuries that may not be clearly documented.
  • Potential overlap with other external cause codes related to traffic accidents.
  • Need for precise details about the cyclist's actions prior to the collision.

Audit Risk Factors

  • Inadequate documentation of the accident details leading to coding errors.
  • Failure to specify the type of railway vehicle involved.
  • Misclassification of the injury severity due to vague descriptions.
  • Inconsistent use of external cause codes across different healthcare providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include details of the accident, patient presentation, and initial treatment.

Common Clinical Scenarios

Cyclist presenting with trauma after a collision with a train, requiring immediate assessment and intervention.

Billing Considerations

Ensure that all relevant details of the incident are captured, including witness statements and police reports if available.

Trauma Surgery

Documentation Requirements

Comprehensive trauma assessment and surgical notes detailing the injuries sustained and the mechanism of injury.

Common Clinical Scenarios

Patients requiring surgical intervention due to severe injuries from a train collision.

Billing Considerations

Document the mechanism of injury thoroughly to support the use of external cause codes.

Coding Guidelines

Inclusion Criteria

Use V15.9 When
  • Follow the ICD
  • CM guidelines for external cause codes, ensuring that the code is used in conjunction with the appropriate injury codes
  • Document the circumstances of the accident clearly to support the use of this code

Exclusion Criteria

Do NOT use V15.9 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a cyclist presents to the emergency department after a collision with a train.

Documentation Requirements

Document the nature of the injury, treatment provided, and any consultations.

Specialty Considerations

Emergency medicine specialists should ensure thorough documentation of the incident.

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 and enabling better tracking of injury patterns related to cycling accidents.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy and enabling better tracking of injury patterns related to cycling accidents.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy and enabling better tracking of injury patterns related to cycling accidents.

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 V15.9?

Document the specifics of the accident, including the location, time, and nature of the collision, as well as the cyclist's actions leading up to the incident.