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ICD-10 Guide
ICD-10 CodesV25.19

V25.19

Billable

Other motorcycle 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 V25.19 is a billable code used to indicate a diagnosis of other motorcycle passenger injured in collision with railway train or railway vehicle in nontraffic accident.

Key Diagnostic Point:

The V25.19 code is utilized to classify injuries sustained by motorcycle passengers involved in collisions with railway trains or railway vehicles that occur outside of traditional traffic scenarios. This code is particularly relevant in cases where the motorcycle is not operating on a public roadway, such as in private property incidents or railway yards. Clinical documentation should detail the circumstances of the accident, including the location, the nature of the collision, and the specific injuries sustained. Accurate coding is essential for tracking morbidity and mortality associated with such incidents, which can inform public health initiatives and safety regulations. This code helps in understanding the epidemiology of motorcycle-related injuries in nontraffic contexts, allowing for targeted interventions and resource allocation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact nature of the accident (nontraffic vs. traffic)
  • Identifying the specific injuries sustained by the passenger
  • Documenting the circumstances surrounding the collision accurately
  • Differentiating between various external cause codes that may apply

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, location of the accident, and any pre-existing conditions that may affect treatment.

Common Clinical Scenarios

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

Billing Considerations

Emergency physicians should ensure that all relevant details are captured in the medical record to support accurate coding.

Trauma Surgery

Documentation Requirements

Trauma surgeons need comprehensive documentation of the patient's injuries, surgical interventions, and the circumstances of the accident.

Common Clinical Scenarios

Trauma cases involving significant injuries such as spinal fractures or traumatic brain injuries from motorcycle accidents.

Billing Considerations

Trauma documentation should include detailed descriptions of the mechanism of injury and any complications arising from the accident.

Coding Guidelines

Inclusion Criteria

Use V25.19 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to report the external cause code to provide context for the injury and to comply with reporting requirements

Exclusion Criteria

Do NOT use V25.19 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 significant injuries from a motorcycle accident.

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 well-documented to justify the CPT code.

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 facilitating better tracking of injury patterns and public health initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy and facilitating better tracking of injury patterns and public health initiatives.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy and facilitating better tracking of injury patterns and 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 V25.19?

Use V25.19 when documenting injuries sustained by a motorcycle passenger involved in a collision with a railway train or vehicle in a nontraffic context. Ensure that the circumstances of the accident are clearly documented.