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ICD-10 Guide
ICD-10 CodesV05.10

V05.10

Billable

Pedestrian on foot 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 V05.10 is a billable code used to indicate a diagnosis of pedestrian on foot injured in collision with railway train or railway vehicle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V05.10 is used to classify injuries sustained by pedestrians who are struck by a railway train or railway vehicle while on foot. This code is essential for capturing the external cause of morbidity and mortality associated with traffic accidents involving trains. Such incidents can lead to severe injuries or fatalities due to the high mass and speed of trains compared to other vehicles. Common injuries may include fractures, traumatic brain injuries, and soft tissue injuries. Accurate coding of these incidents is crucial for public health data, resource allocation, and injury prevention strategies. Documentation should include details about the circumstances of the accident, the location, and the nature of the injuries sustained. This code is particularly relevant in urban areas where pedestrian traffic near railway lines is common, and it helps in understanding the epidemiology of pedestrian injuries in relation to railway systems.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident circumstances
  • Differentiation between types of railway vehicles (e.g., freight vs. passenger)
  • Potential for multiple injuries requiring detailed coding
  • Variability in local laws and reporting standards regarding railway accidents

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Misclassification of the type of railway vehicle involved
  • Failure to capture all injuries sustained
  • Inconsistent coding practices across different facilities

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include the mechanism of injury, patient presentation, and any immediate interventions performed.

Common Clinical Scenarios

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

Billing Considerations

Ensure that all injuries are documented and coded, including secondary injuries that may arise from the initial impact.

Trauma Surgery

Documentation Requirements

Detailed operative reports and trauma assessments are necessary to capture the full extent of injuries.

Common Clinical Scenarios

Trauma cases involving surgical intervention for severe injuries from train collisions.

Billing Considerations

Consider the mechanism of injury when coding, as it may influence surgical decisions and outcomes.

Coding Guidelines

Inclusion Criteria

Use V05.10 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the external cause code is reported in conjunction with the appropriate diagnosis codes
  • The external cause code should reflect the specific circumstances of the injury

Exclusion Criteria

Do NOT use V05.10 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 after a train collision.

Documentation Requirements

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

Specialty Considerations

Emergency medicine specialists should ensure comprehensive documentation of the injury mechanism.

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 efforts. V05.10 provides a clear classification for pedestrian injuries involving trains, which was less detailed 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 efforts. V05.10 provides a clear classification for pedestrian injuries involving trains, which was less detailed 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 efforts. V05.10 provides a clear classification for pedestrian injuries involving trains, which was less detailed 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 be documented to support the use of V05.10?

Documentation should include the circumstances of the accident, the type of railway vehicle involved, the location of the incident, and a detailed account of the injuries sustained.