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v1.0.0
ICD-10 Guide
ICD-10 CodesV05.0

V05.0

Billable

Pedestrian 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 V05.0 is a billable code used to indicate a diagnosis of pedestrian injured in collision with railway train or railway vehicle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V05.0 is used to classify injuries sustained by pedestrians involved in collisions with railway trains or railway vehicles that occur outside of typical traffic scenarios. This code is particularly relevant in cases where the pedestrian is struck while on or near railway property, but not in a vehicular traffic context. Such incidents may occur in areas where pedestrians are allowed to cross tracks or in situations where individuals may be on railway property without the intention of crossing tracks. The injuries can range from minor to severe, including fractures, lacerations, and traumatic brain injuries, depending on the speed of the train and the circumstances of the collision. Accurate coding of these incidents is crucial for public health data collection, injury prevention strategies, and resource allocation for emergency services.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact circumstances of the accident (nontraffic vs. traffic)
  • Differentiating between types of railway vehicles involved
  • Documenting the location of the incident accurately
  • Understanding the severity of injuries related to the collision

Audit Risk Factors

  • Inadequate documentation of the incident's circumstances
  • Misclassification of the accident type (traffic vs. nontraffic)
  • Failure to capture the severity of injuries accurately
  • Linking to incorrect primary diagnosis codes

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, location of the incident, and the patient's condition upon arrival.

Common Clinical Scenarios

Patients presenting with trauma after being struck by a train while crossing tracks or walking along railway property.

Billing Considerations

Consider the need for immediate trauma assessments and the potential for multiple injuries requiring comprehensive coding.

Trauma Surgery

Documentation Requirements

Detailed surgical notes and injury assessments are required to capture the full extent of injuries sustained.

Common Clinical Scenarios

Trauma cases involving severe injuries from railway collisions, often requiring surgical intervention.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use V05.0 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to document the circumstances of the injury thoroughly and to use the most specific code available

Exclusion Criteria

Do NOT use V05.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a patient presents with severe injuries from a railway collision.

Documentation Requirements

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

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 and injury prevention initiatives. V05.0 provides a clear classification for nontraffic railway injuries, which was less defined in ICD-9.

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 and injury prevention initiatives. V05.0 provides a clear classification for nontraffic railway injuries, which was less defined in ICD-9.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy for public health and injury prevention initiatives. V05.0 provides a clear classification for nontraffic railway injuries, which was less defined in ICD-9.

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 V05.0?

Document the specific circumstances of the accident, including the location, type of railway vehicle involved, and the nature of the injuries sustained. Ensure that the documentation aligns with the coding guidelines for external causes.