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v1.0.0
ICD-10 Guide
ICD-10 CodesV55.6

V55.6

Billable

Passenger in pick-up truck or van 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 V55.6 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 traffic accident.

Key Diagnostic Point:

The ICD-10 code V55.6 is used to classify injuries sustained by passengers in pick-up trucks or vans involved in collisions with railway trains or railway vehicles during traffic accidents. This code is essential for capturing the external cause of morbidity and mortality related to vehicular accidents involving railways. Such incidents often result in severe injuries due to the significant mass and speed of trains compared to smaller vehicles. Common injuries may include traumatic brain injuries, fractures, and internal injuries. Accurate coding of this incident is crucial for epidemiological studies, resource allocation, and understanding the impact of such accidents on public health. Documentation should include details of the accident, the type of vehicle involved, and the nature of the injuries sustained to ensure proper coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident type and circumstances.
  • Differentiation between various types of vehicles involved.
  • Potential for multiple injuries requiring additional codes.
  • Variability in reporting standards across different healthcare settings.

Audit Risk Factors

  • Inadequate documentation of the accident details.
  • Misclassification of the type of vehicle involved.
  • Failure to capture all injuries sustained.
  • Inconsistent coding practices across different coders.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Ensure that all injuries are documented and coded, as multiple injuries may require additional codes.

Trauma Surgery

Documentation Requirements

Detailed operative reports and trauma assessments should include the mechanism of injury and specific injuries sustained.

Common Clinical Scenarios

Trauma patients requiring surgical intervention after a collision with a railway vehicle.

Billing Considerations

Consider the potential for severe injuries that may not be immediately apparent; thorough documentation is essential.

Coding Guidelines

Inclusion Criteria

Use V55.6 When
  • Follow the official ICD
  • CM coding guidelines for external causes of morbidity
  • Ensure that the code is used in conjunction with appropriate injury codes to provide a complete picture of the patient's condition

Exclusion Criteria

Do NOT use V55.6 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used for patients presenting with severe injuries from a railway collision.

Documentation Requirements

Document the nature of the injuries and the treatment provided.

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 for public health tracking and resource allocation related to railway accidents.

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 resource allocation related to railway accidents.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy for public health tracking and resource allocation related to railway accidents.

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 V55.6?

Documentation should include details of the accident, the type of vehicle involved, the nature of injuries sustained, and any treatments provided.