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ICD-10 Guide
ICD-10 CodesV05.9

V05.9

Billable

Pedestrian injured in collision with railway train or railway vehicle, unspecified whether traffic or nontraffic accident

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

Code Description

ICD-10 V05.9 is a billable code used to indicate a diagnosis of pedestrian injured in collision with railway train or railway vehicle, unspecified whether traffic or nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V05.9 is used to classify injuries sustained by pedestrians involved in collisions with railway trains or railway vehicles. This code is particularly relevant in cases where the circumstances of the accident are not clearly defined as either traffic-related or nontraffic-related. Such incidents can occur in various settings, including urban environments where pedestrians may cross tracks, or in rural areas where trains may operate near pedestrian pathways. The injuries can range from minor to severe, including fractures, lacerations, and traumatic brain injuries, depending on the speed of the train and the nature of the collision. Accurate coding is essential for tracking morbidity and mortality associated with these incidents, which can inform public health initiatives aimed at improving pedestrian safety around railway systems.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in determining whether the incident is traffic or nontraffic-related.
  • Variability in documentation quality from different healthcare providers.
  • Potential for multiple injuries requiring additional codes.
  • Need for precise details about the accident context for accurate coding.

Audit Risk Factors

  • Inadequate documentation of the accident circumstances.
  • Failure to specify the type of railway vehicle involved.
  • Misclassification of the incident as traffic or nontraffic.
  • Inconsistent coding practices among different coders.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, location of the accident, and any relevant patient history.

Common Clinical Scenarios

Patients presenting with trauma after being struck by a train, often requiring immediate intervention.

Billing Considerations

Consideration of the patient's mental state and potential substance use at the time of the accident.

Trauma Surgery

Documentation Requirements

Detailed trauma assessments, including injury severity scores and surgical interventions performed.

Common Clinical Scenarios

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

Billing Considerations

Documentation of all injuries and their mechanisms is critical for accurate coding and treatment planning.

Coding Guidelines

Inclusion Criteria

Use V05.9 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to capture the context of the injury, including the location and circumstances, to ensure accurate coding

Exclusion Criteria

Do NOT use V05.9 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 train collision.

Documentation Requirements

Document the severity of injuries 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 detailed coding of external causes of injuries, improving data collection and analysis for public health initiatives aimed at reducing pedestrian injuries related to railway incidents.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, improving data collection and analysis for public health initiatives aimed at reducing pedestrian injuries related to railway incidents.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, improving data collection and analysis for public health initiatives aimed at reducing pedestrian injuries related to railway incidents.

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 I document to support the use of V05.9?

Document the specifics of the accident, including the location, type of railway vehicle involved, and any contributing factors such as visibility or pedestrian behavior.