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v1.0.0
ICD-10 Guide
ICD-10 CodesChapter 20: External causes of morbidityV05

V05

Billable

Pedestrian injured in collision with railway train or railway vehicle

Chapter 20:External causes of morbidity

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 V05 is a billable code used to indicate a diagnosis of pedestrian injured in collision with railway train or railway vehicle.

Key Diagnostic Point:

The ICD-10 code V05 is designated for cases where a pedestrian is injured due to a collision with a railway train or railway vehicle. This code is crucial for accurately capturing the external cause of morbidity and mortality associated with such incidents. Pedestrian injuries from railway collisions can result in severe trauma, including fractures, internal injuries, and fatalities. The documentation should reflect the circumstances of the incident, including the location, time, and any contributing factors such as visibility conditions or pedestrian behavior. Accurate coding is essential for public health data collection, resource allocation, and injury prevention strategies. This code is often used in emergency departments, trauma centers, and public health reporting to analyze trends in pedestrian safety and railway-related incidents.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact circumstances of the collision.
  • Differentiating between types of railway vehicles (e.g., freight vs. passenger).
  • Documenting the severity of injuries accurately.
  • Understanding the context of the incident (e.g., was the pedestrian on a designated crossing?).

Audit Risk Factors

  • Inadequate documentation of the incident details.
  • Misclassification of the type of railway vehicle involved.
  • Failure to capture the pedestrian's actions leading to the collision.
  • Inconsistent coding practices among different healthcare providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Detailed notes on the mechanism of injury, patient presentation, and any pre-existing conditions.

Common Clinical Scenarios

Patients presenting with trauma after being struck by a train, including head injuries, fractures, and lacerations.

Billing Considerations

Ensure that the documentation includes the time and place of the incident, as well as any contributing factors such as weather conditions.

Trauma Surgery

Documentation Requirements

Comprehensive trauma assessments, including injury severity scores and surgical interventions performed.

Common Clinical Scenarios

Severe injuries requiring surgical intervention, such as amputations or internal organ repairs.

Billing Considerations

Accurate coding is critical for trauma registries and quality improvement initiatives.

Coding Guidelines

Inclusion Criteria

Use V05 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 correctly to reflect the cause of the injury

Exclusion Criteria

Do NOT use V05 When
No specific exclusions found.

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 severity of the injuries and the treatment provided.

Specialty Considerations

Emergency medicine specialists should ensure thorough documentation of the patient's condition.

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 initiatives and injury prevention strategies.

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 initiatives and injury prevention strategies.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy for public health initiatives and injury prevention strategies.

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 code V05?

Documentation should include the details of the incident, such as the location, time, type of railway vehicle involved, and the pedestrian's actions leading up to the collision.