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v1.0.0
ICD-10 Guide
ICD-10 CodesV55.1

V55.1

Billable

Passenger in pick-up truck or van 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 V55.1 is a billable code used to indicate a diagnosis of passenger in pick-up truck or van injured in collision with railway train or railway vehicle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V55.1 is used to classify injuries sustained by passengers in pick-up trucks or vans involved in collisions with railway trains or railway vehicles during nontraffic accidents. This code is particularly relevant in scenarios where the vehicle is stationary or moving in a non-traffic context, such as at a railway crossing or in a yard. The injuries can range from minor to severe, depending on the speed of the train and the circumstances of the collision. Accurate coding is essential for tracking morbidity and mortality associated with such incidents, which can inform public health initiatives and safety regulations. Documentation should include details about the accident's circumstances, the type of vehicle involved, and the nature of the injuries sustained by the passenger. This code is crucial for understanding the impact of railway-related accidents on public health and for ensuring appropriate resource allocation for trauma care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact nature of the accident (nontraffic vs. traffic)
  • Differentiating between types of vehicles involved
  • Documenting the specific injuries sustained
  • Understanding the context of the collision (e.g., stationary vs. moving)

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Misclassification of the type of vehicle involved
  • Failure to specify the nature of injuries
  • Linkage errors with primary diagnosis codes

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, patient presentation, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with trauma after a collision with a train while in a pick-up truck or van.

Billing Considerations

Consider the need for trauma activation protocols and ensure all injuries are documented comprehensively.

Trauma Surgery

Documentation Requirements

Detailed operative reports and injury assessments are necessary, including descriptions of injuries and surgical interventions.

Common Clinical Scenarios

Trauma cases involving surgical intervention due to severe injuries from a railway collision.

Billing Considerations

Ensure accurate coding of all injuries and any associated complications.

Coding Guidelines

Inclusion Criteria

Use V55.1 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that external cause codes are sequenced correctly and that the primary diagnosis is clearly linked to the external cause
  • Document the circumstances of the accident thoroughly

Exclusion Criteria

Do NOT use V55.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used for patients presenting with injuries from a railway collision.

Documentation Requirements

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

Specialty Considerations

Emergency medicine specialists should ensure thorough documentation of the mechanism of injury.

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 and enhancing the ability to track and analyze injury patterns related to railway collisions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy and enhancing the ability to track and analyze injury patterns related to railway collisions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy and enhancing the ability to track and analyze injury patterns related to railway collisions.

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 V55.1?

Document the specifics of the accident, including the type of vehicle, the circumstances of the collision, and the nature of the injuries sustained by the passenger.