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v1.0.0
ICD-10 Guide
ICD-10 CodesV25.29

V25.29

Billable

Unspecified rider of other motorcycle 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 V25.29 is a billable code used to indicate a diagnosis of unspecified rider of other motorcycle injured in collision with railway train or railway vehicle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V25.29 is used to classify injuries sustained by an unspecified rider of a motorcycle involved in a collision with a railway train or railway vehicle during a nontraffic accident. This code is particularly relevant in scenarios where the motorcycle rider is not involved in typical road traffic but rather in an incident involving a railway system, such as crossing tracks or being struck while stationary. The injuries can range from minor to severe, including fractures, lacerations, or traumatic brain injuries, depending on the nature of the collision. Accurate coding is essential for proper treatment documentation, insurance claims, and public health data collection, as it helps identify patterns in injuries related to motorcycle and railway interactions, which can inform safety measures and policy changes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in documentation regarding the specifics of the accident.
  • Need for precise details about the type of motorcycle and circumstances of the collision.
  • Potential overlap with other external cause codes that may apply.
  • Variability in injury severity and associated codes that may need to be captured.

Audit Risk Factors

  • Inadequate documentation of the circumstances leading to the collision.
  • Misclassification of the accident type (traffic vs. nontraffic).
  • Failure to capture all relevant injuries associated with the incident.
  • Inconsistent use of external cause codes across different providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly outline the mechanism of injury, including details of the collision and any immediate interventions.

Common Clinical Scenarios

Patients presenting with trauma after being struck by a train while riding a motorcycle near railway tracks.

Billing Considerations

Ensure that the mechanism of injury is well-documented to support the use of V25.29, especially in cases where multiple injuries are present.

Trauma Surgery

Documentation Requirements

Trauma registries require detailed descriptions of the injury mechanism, including the type of motorcycle and specifics of the collision.

Common Clinical Scenarios

Trauma cases involving severe injuries from motorcycle collisions with trains, requiring surgical intervention.

Billing Considerations

Accurate coding is crucial for trauma outcomes analysis and may influence future safety recommendations.

Coding Guidelines

Inclusion Criteria

Use V25.29 When
  • Follow the ICD
  • CM Official Guidelines for Coding and Reporting, particularly Section I
  • 19 on external causes of morbidity
  • Ensure that the external cause code is sequenced correctly with the primary diagnosis code

Exclusion Criteria

Do NOT use V25.29 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

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

Documentation Requirements

Document the patient's condition, treatment provided, and any referrals made.

Specialty Considerations

Emergency medicine specialists should ensure that the visit level reflects 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, improving data collection and analysis for public health and safety initiatives related to motorcycle and railway interactions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data collection and analysis for public health and safety initiatives related to motorcycle and railway interactions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data collection and analysis for public health and safety initiatives related to motorcycle and railway interactions.

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 V25.29?

Document the specifics of the accident, including the type of motorcycle, the circumstances of the collision with the train, and any injuries sustained. Clear documentation will help avoid confusion with traffic-related codes.