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v1.0.0
ICD-10 Guide
ICD-10 CodesV25.41

V25.41

Billable

Electric (assisted) bicycle 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 V25.41 is a billable code used to indicate a diagnosis of electric (assisted) bicycle driver injured in collision with railway train or railway vehicle in traffic accident.

Key Diagnostic Point:

The V25.41 code is used to classify injuries sustained by drivers of electric (assisted) bicycles involved in collisions with railway trains or railway vehicles during traffic accidents. This code captures the external cause of morbidity and mortality associated with such incidents, which can result in significant injuries due to the high impact nature of collisions with large vehicles like trains. The use of this code is essential for tracking injury patterns, understanding the risks associated with electric bicycles, and implementing public health strategies aimed at reducing such accidents. Accurate documentation of the circumstances surrounding the collision, including the location, time, and contributing factors, is crucial for proper coding and analysis of injury data.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of the code related to electric bicycles
  • Need for detailed documentation of the accident circumstances
  • Potential for confusion with other vehicle-related codes
  • Variability in reporting practices across different healthcare settings

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Misclassification of the type of vehicle involved
  • Failure to capture the external cause of injury accurately
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include details of the accident, patient presentation, and any immediate interventions.

Common Clinical Scenarios

Patients presenting with trauma after a collision with a train while riding an electric bicycle.

Billing Considerations

Ensure that the mechanism of injury is clearly documented to support the use of V25.41.

Trauma Surgery

Documentation Requirements

Comprehensive trauma assessments and operative reports should detail the injuries sustained and the context of the accident.

Common Clinical Scenarios

Trauma cases involving severe injuries from collisions with railway vehicles.

Billing Considerations

Accurate coding is essential for trauma registry data and for understanding injury patterns in this population.

Coding Guidelines

Inclusion Criteria

Use V25.41 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 thoroughly to support the use of V25

Exclusion Criteria

Do NOT use V25.41 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when an electric bicycle driver presents to the ED after a collision with a train.

Documentation Requirements

Document the nature of the injuries, the mechanism of injury, and any treatments provided.

Specialty Considerations

Emergency medicine providers should ensure thorough documentation to support 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 of injuries, including those related to electric bicycles, which were less distinctly categorized in ICD-9.

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 electric bicycles, which were less distinctly categorized in ICD-9.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those related to electric bicycles, which were less distinctly categorized in ICD-9.

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 support the use of V25.41?

Documentation should include details about the accident, such as the location, time, circumstances leading to the collision, and the type of injuries sustained by the electric bicycle driver.