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ICD-10 Guide
ICD-10 CodesV05.03

V05.03

Billable

Pedestrian on standing micro-mobility pedestrian conveyance 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 V05.03 is a billable code used to indicate a diagnosis of pedestrian on standing micro-mobility pedestrian conveyance injured in collision with railway train or railway vehicle in nontraffic accident.

Key Diagnostic Point:

V05.03 is used to classify injuries sustained by pedestrians using standing micro-mobility conveyances, such as e-scooters or standing bicycles, who are involved in a collision with a railway train or railway vehicle. This code is particularly relevant in nontraffic accidents, meaning that the incident does not occur on a public roadway but rather in areas such as train stations, railway yards, or other locations where trains operate. 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 injury patterns, understanding the risks associated with micro-mobility devices, and informing public health initiatives aimed at improving safety for pedestrians in proximity to railway systems.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of the conveyance type (standing micro-mobility)
  • Context of the accident (nontraffic vs. traffic)
  • Need for detailed documentation of the incident
  • Potential overlap with other external cause codes

Audit Risk Factors

  • Inadequate documentation of the incident context
  • Misclassification of the type of conveyance used
  • Failure to specify the nature of the injuries
  • Inconsistent use of external cause codes in similar cases

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, type of conveyance, and specific details of the collision.

Common Clinical Scenarios

Patients presenting with fractures, lacerations, or concussions after being struck by a train while using a standing micro-mobility device.

Billing Considerations

Consideration of the patient's location at the time of the accident is crucial for accurate coding.

Trauma Surgery

Documentation Requirements

Trauma documentation should include detailed descriptions of injuries, surgical interventions, and the circumstances of the accident.

Common Clinical Scenarios

Severe injuries requiring surgical intervention, such as traumatic amputations or spinal injuries from train collisions.

Billing Considerations

Trauma surgeons must ensure that all relevant external cause codes are captured to reflect the complexity of the injuries.

Coding Guidelines

Inclusion Criteria

Use V05.03 When
  • Coders should refer to the ICD
  • CM Official Guidelines for Coding and Reporting, particularly sections on external causes of morbidity
  • Accurate coding requires a thorough understanding of the circumstances surrounding the injury and the specific type of conveyance involved

Exclusion Criteria

Do NOT use V05.03 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 train collision.

Documentation Requirements

Documentation must support the severity of the visit and the nature of the injuries.

Specialty Considerations

Emergency medicine specialists should ensure that all relevant injuries and external causes are documented.

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, including those related to micro-mobility devices. This specificity aids in better tracking of injury patterns and informs public health initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, including those related to micro-mobility devices. This specificity aids in better tracking of injury patterns and informs public health initiatives.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, including those related to micro-mobility devices. This specificity aids in better tracking of injury patterns and informs public health initiatives.

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

When should I use V05.03?

Use V05.03 when documenting injuries sustained by a pedestrian on a standing micro-mobility conveyance involved in a collision with a railway train or vehicle in a nontraffic setting.

What documentation is required for V05.03?

Documentation must include details about the type of micro-mobility device, the circumstances of the collision, and the specific injuries sustained.