ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesV25.49

V25.49

Billable

Other motorcycle 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 V25.49 is a billable code used to indicate a diagnosis of other motorcycle driver injured in collision with railway train or railway vehicle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V25.49 is used to classify injuries sustained by motorcycle drivers 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 severe injuries or fatalities. Motorcycle drivers are particularly vulnerable in these scenarios due to the lack of protective barriers compared to other vehicles. Common injuries may include traumatic brain injuries, fractures, and soft tissue injuries. Accurate coding of this incident is crucial for public health data collection, resource allocation, and understanding the epidemiology of motorcycle-related accidents. Documentation should include details about the circumstances of the accident, the type of railway vehicle involved, and the nature of the injuries sustained to ensure precise coding and appropriate treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation quality regarding the accident details
  • Need for specificity in describing the type of railway vehicle involved
  • Potential for confusion with other external cause codes related to motorcycle accidents
  • Requirement to differentiate between types of injuries sustained

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Misclassification of the type of vehicle involved in the collision
  • Failure to capture all injuries sustained in the incident
  • Inconsistent coding practices among different providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, type of motorcycle, and details of the collision with the railway vehicle.

Common Clinical Scenarios

Patients presenting with trauma after a motorcycle accident involving a train, including head injuries, fractures, and lacerations.

Billing Considerations

Ensure that all injuries are documented and that the mechanism of injury is clearly stated to support the use of V25.49.

Trauma Surgery

Documentation Requirements

Trauma assessments must include detailed descriptions of the injuries and the circumstances of the accident, including the involvement of a railway vehicle.

Common Clinical Scenarios

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

Billing Considerations

Accurate coding is essential for trauma registries and for tracking injury patterns in motorcycle accidents.

Coding Guidelines

Inclusion Criteria

Use V25.49 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the external cause code is reported in conjunction with the appropriate injury codes
  • The external cause code should be sequenced after the injury code(s) to reflect the cause of the injury accurately

Exclusion Criteria

Do NOT use V25.49 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, level 3

Clinical Scenario

Used for emergency visits related to motorcycle accidents.

Documentation Requirements

Document the nature of the injuries and the circumstances of the accident.

Specialty Considerations

Emergency medicine providers should ensure thorough documentation to support the level of service billed.

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 involving motorcycle accidents with railway vehicles, improving data accuracy for public health and safety initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those involving motorcycle accidents with railway vehicles, improving data accuracy for public health and safety initiatives.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those involving motorcycle accidents with railway vehicles, improving data accuracy for public health and safety 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

What should be documented to use V25.49?

Documentation should include the specifics of the collision, the type of railway vehicle involved, and a detailed account of the injuries sustained by the motorcycle driver.