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ICD-10 Guide
ICD-10 CodesV05.02

V05.02

Billable

Pedestrian on skateboard 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 V05.02 is a billable code used to indicate a diagnosis of pedestrian on skateboard injured in collision with railway train or railway vehicle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V05.02 is used to classify injuries sustained by a pedestrian riding a skateboard who is involved in a collision with a railway train or railway vehicle, specifically in a nontraffic accident context. This code is particularly relevant in scenarios where the incident occurs outside of typical roadway traffic, such as in a railway yard or near a train station. The injuries can range from minor abrasions to severe trauma, depending on the speed of the train and the circumstances of the collision. Accurate coding of this incident is crucial for understanding the epidemiology of such accidents, facilitating public health interventions, and ensuring appropriate resource allocation for injury prevention programs. Documentation must clearly indicate the circumstances of the accident, the type of injuries sustained, and the context in which the collision occurred to support the use of this specific external cause code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident context
  • Differentiation between traffic and nontraffic incidents
  • Potential for multiple injuries requiring detailed coding
  • Variability in injury severity and associated treatments

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Misclassification of the incident as a traffic accident
  • Failure to capture all injuries sustained
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must include a detailed account of the incident, including the mechanism of injury and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with fractures, lacerations, or contusions after being struck by a train while skateboarding.

Billing Considerations

Ensure that the external cause code is linked to the primary diagnosis of injury for accurate billing and reporting.

Trauma Surgery

Documentation Requirements

Trauma assessments should document the extent of injuries and the circumstances leading to the collision, including any pre-existing conditions.

Common Clinical Scenarios

Trauma cases involving multiple injuries from a collision with a train, requiring surgical intervention.

Billing Considerations

Consider the potential for severe injuries that may necessitate complex coding for multiple trauma sites.

Coding Guidelines

Inclusion Criteria

Use V05.02 When
  • Follow the ICD
  • CM Official Guidelines for Coding and Reporting, particularly those related to external causes of morbidity
  • Ensure that the external cause code is reported in conjunction with the appropriate injury diagnosis codes

Exclusion Criteria

Do NOT use V05.02 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 to the emergency department with severe injuries from a skateboard-train collision.

Documentation Requirements

Document the severity of injuries and the treatment provided during the visit.

Specialty Considerations

Emergency medicine specialists should ensure that the visit level reflects the complexity of the case.

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 collection and analysis for public health initiatives related to injury prevention.

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

reimbursement.

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 V05.02?

Documentation should include a clear description of the accident, the context in which it occurred, the type of skateboard involved, and the specific injuries sustained by the patient.