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ICD-10 Guide
ICD-10 CodesV25.59

V25.59

Billable

Other motorcycle passenger 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 V25.59 is a billable code used to indicate a diagnosis of other motorcycle passenger injured in collision with railway train or railway vehicle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V25.59 is used to classify injuries sustained by motorcycle passengers involved in collisions with railway trains or railway vehicles during traffic accidents. This code is particularly relevant in scenarios where a motorcycle, carrying one or more passengers, collides with a train or railway vehicle, leading to various injuries. The injuries can range from minor abrasions and contusions to severe trauma, including fractures, head injuries, and internal injuries. Accurate coding is crucial for understanding the epidemiology of motorcycle-related injuries, facilitating appropriate treatment, and ensuring proper reimbursement. Documentation must clearly indicate the nature of the accident, the role of the motorcycle passenger, and the specifics of the injuries sustained to support the use of this code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between motorcycle passengers and operators in documentation.
  • Understanding the specifics of the collision type (train vs. vehicle).
  • Accurate assessment of injury severity and type.
  • Potential for multiple external cause codes to be applicable.

Audit Risk Factors

  • Inadequate documentation of the accident details.
  • Failure to specify the role of the patient (passenger vs. operator).
  • Misclassification of the type of vehicle involved in the accident.
  • Inconsistent coding of injuries related to the accident.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, patient demographics, and initial assessment findings.

Common Clinical Scenarios

Patients presenting with trauma after a motorcycle collision with a train, including head injuries and fractures.

Billing Considerations

Ensure that the documentation reflects the passenger status and details of the collision for accurate coding.

Trauma Surgery

Documentation Requirements

Trauma surgeons need detailed operative notes and injury assessments to support coding.

Common Clinical Scenarios

Surgical interventions for severe injuries sustained in motorcycle-train collisions.

Billing Considerations

Consider the need for multiple codes to capture all injuries accurately.

Coding Guidelines

Inclusion Criteria

Use V25.59 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with injury codes to provide a complete picture of the circumstances surrounding the injury
  • 59 should be reported alongside the specific injury codes to reflect the nature of the injuries sustained

Exclusion Criteria

Do NOT use V25.59 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity.

Clinical Scenario

Used for emergency visits related to motorcycle accidents.

Documentation Requirements

Document the nature of the visit and the injuries sustained.

Specialty Considerations

Emergency medicine documentation must reflect the urgency and complexity of care.

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 tracking and reimbursement processes. V25.59 provides a clear classification for motorcycle passenger injuries in train collisions, enhancing the understanding of these incidents.

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 tracking and reimbursement processes. V25.59 provides a clear classification for motorcycle passenger injuries in train collisions, enhancing the understanding of these incidents.

Reimbursement & Billing Impact

reimbursement processes. V25.59 provides a clear classification for motorcycle passenger injuries in train collisions, enhancing the understanding of these incidents.

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 V25.59?

Documentation must include the specifics of the motorcycle accident, the role of the patient as a passenger, and the details of the injuries sustained. This ensures accurate coding and supports the medical necessity of the services provided.