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ICD-10 Guide
ICD-10 CodesV05.09

V05.09

Billable

Pedestrian with other 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 V05.09 is a billable code used to indicate a diagnosis of pedestrian with other conveyance injured in collision with railway train or railway vehicle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V05.09 is used to classify injuries sustained by pedestrians who are using other conveyances (such as bicycles, scooters, or wheelchairs) when they are involved in a collision with a railway train or railway vehicle in a nontraffic accident. This code is particularly relevant in scenarios where the pedestrian is not in a typical roadway setting, such as near railway crossings or in areas where trains operate outside of conventional traffic patterns. The injuries can range from minor to severe, including fractures, lacerations, or traumatic brain injuries, depending on the speed of the train and the nature of the impact. Accurate coding is essential for tracking injury patterns, understanding public health implications, and ensuring appropriate resource allocation for prevention strategies.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the specific type of conveyance used by the pedestrian.
  • Identifying the context of the accident (nontraffic vs. traffic).
  • Differentiating between similar codes for pedestrian injuries.
  • Ensuring accurate documentation of the circumstances surrounding the injury.

Audit Risk Factors

  • Inadequate documentation of the type of conveyance involved.
  • Misclassification of the accident as traffic-related.
  • Failure to specify the nature of the injuries sustained.
  • Lack of clarity on the location of the incident.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, type of conveyance, and specific injuries sustained.

Common Clinical Scenarios

Patients presenting with trauma after being struck by a train while riding a bicycle or scooter.

Billing Considerations

Consideration of the patient's overall condition and potential for multiple injuries requiring comprehensive evaluation.

Trauma Surgery

Documentation Requirements

Detailed trauma assessments, including injury patterns and surgical interventions.

Common Clinical Scenarios

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

Billing Considerations

Documentation must reflect the mechanism of injury and any associated complications.

Coding Guidelines

Inclusion Criteria

Use V05.09 When
  • Coders should refer to the official ICD
  • CM coding guidelines, ensuring that the external cause code is used in conjunction with the appropriate injury codes
  • The context of the accident must be clearly documented to support the use of V05

Exclusion Criteria

Do NOT use V05.09 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 injury and 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.

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.

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.

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 V05.09?

Use V05.09 when documenting injuries sustained by a pedestrian using other conveyances in a collision with a railway train or vehicle in a nontraffic setting, ensuring that the context of the accident is clearly documented.