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v1.0.0
ICD-10 Guide
ICD-10 CodesV25.39

V25.39

Billable

Person boarding or alighting other motorcycle injured in collision with railway train or railway vehicle

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

Code Description

ICD-10 V25.39 is a billable code used to indicate a diagnosis of person boarding or alighting other motorcycle injured in collision with railway train or railway vehicle.

Key Diagnostic Point:

This code is used to classify injuries sustained by individuals who are boarding or alighting from a motorcycle and are subsequently involved in a collision with a railway train or railway vehicle. Such incidents can occur at railway crossings, where motorcyclists may not be aware of oncoming trains or may misjudge the timing of their crossing. The injuries can range from minor abrasions to severe trauma, including fractures, head injuries, and internal injuries, depending on the speed of the train and the circumstances of the collision. Accurate coding of these incidents is crucial for public health data collection, injury prevention strategies, and resource allocation for emergency services. This code falls under the external causes of morbidity and mortality, highlighting the importance of understanding the circumstances surrounding injuries to improve safety measures and reduce future occurrences.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of the incident (boarding or alighting)
  • Need for accurate documentation of the circumstances of the collision
  • Potential for multiple injuries requiring detailed coding
  • Variability in reporting standards across different healthcare settings

Audit Risk Factors

  • Inadequate documentation of the incident details
  • Misclassification of the type of motorcycle or vehicle involved
  • Failure to capture the external cause of the injury accurately
  • Inconsistent coding practices across different providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, including the patient's actions (boarding or alighting) and the circumstances of the collision.

Common Clinical Scenarios

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

Billing Considerations

Ensure that the mechanism of injury is explicitly stated to avoid ambiguity in coding.

Trauma Surgery

Documentation Requirements

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

Common Clinical Scenarios

Trauma cases involving severe injuries from train collisions, necessitating surgical intervention.

Billing Considerations

Accurate coding is essential for trauma statistics and research; ensure all relevant details are captured.

Coding Guidelines

Inclusion Criteria

Use V25.39 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the external cause codes are sequenced correctly and that the primary diagnosis is clearly documented
  • The external cause code should be used in conjunction with the appropriate injury codes

Exclusion Criteria

Do NOT use V25.39 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used for emergency visits related to injuries from train collisions.

Documentation Requirements

Document the nature of the injury and the external cause.

Specialty Considerations

Emergency medicine providers 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 for public health and injury prevention efforts. This code provides detailed information about the circumstances of motorcycle-related injuries involving trains.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy for public health and injury prevention efforts. This code provides detailed information about the circumstances of motorcycle-related injuries involving trains.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy for public health and injury prevention efforts. This code provides detailed information about the circumstances of motorcycle-related injuries involving trains.

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 be documented to use code V25.39?

Documentation should include the specific circumstances of the injury, whether the patient was boarding or alighting from the motorcycle, and details of the collision with the train.