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ICD-10 Guide
ICD-10 CodesV05.1

V05.1

Billable

Pedestrian injured in collision with railway train or railway vehicle in traffic accident

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

Code Description

ICD-10 V05.1 is a billable code used to indicate a diagnosis of pedestrian injured in collision with railway train or railway vehicle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V05.1 is used to classify injuries sustained by pedestrians involved in collisions with railway trains or railway vehicles during traffic accidents. This code is crucial for capturing the external causes of morbidity and mortality associated with such incidents. Pedestrian injuries from railway collisions can range from minor injuries to severe trauma, including fractures, head injuries, and even fatalities. Accurate coding of these incidents is essential for public health data collection, resource allocation, and injury prevention strategies. In clinical settings, documentation should include details about the circumstances of the accident, the type of railway vehicle involved, and the nature of the injuries sustained. This code is particularly relevant in urban areas with high pedestrian traffic near railway lines, where the risk of such accidents is elevated. Understanding the context of these injuries helps healthcare providers and public health officials develop targeted interventions to reduce pedestrian injuries related to railway accidents.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident circumstances
  • Differentiation between types of railway vehicles
  • Variability in injury severity and types
  • Potential for multiple external cause codes to be applicable

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Failure to specify the type of railway vehicle involved
  • Misclassification of the injury severity
  • Use of multiple external cause codes without clear linkage

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, including the type of railway vehicle and the circumstances leading to the collision.

Common Clinical Scenarios

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

Billing Considerations

Emergency providers should ensure that all relevant details are captured to support accurate coding and facilitate injury prevention efforts.

Trauma Surgery

Documentation Requirements

Trauma surgeons need to document the extent of injuries, surgical interventions performed, and the patient's response to treatment.

Common Clinical Scenarios

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

Billing Considerations

Accurate coding is essential for tracking outcomes and improving trauma care protocols.

Coding Guidelines

Inclusion Criteria

Use V05.1 When
  • According to the ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is essential to report the external cause code to provide context for the injury and to follow the guidelines for sequencing external cause codes correctly

Exclusion Criteria

Do NOT use V05.1 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 railway collision.

Documentation Requirements

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

Specialty Considerations

Emergency medicine providers should ensure that all relevant details are captured for accurate coding.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more detailed coding of external causes, including specific circumstances surrounding pedestrian injuries from railway collisions. This granularity aids in better tracking and understanding of these incidents for public health initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes, including specific circumstances surrounding pedestrian injuries from railway collisions. This granularity aids in better tracking and understanding of these incidents for public health initiatives.

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 V05.1?

Documentation should include the specifics of the accident, such as the type of railway vehicle involved, the circumstances leading to the collision, and the nature of the injuries sustained by the pedestrian.