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v1.0.0
ICD-10 Guide
ICD-10 CodesV05.92

V05.92

Billable

Pedestrian on skateboard 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 V05.92 is a billable code used to indicate a diagnosis of pedestrian on skateboard injured in collision with railway train or railway vehicle, unspecified whether traffic or nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V05.92 is used to classify injuries sustained by a pedestrian riding a skateboard who is involved in a collision with a railway train or railway vehicle. This code is particularly relevant in scenarios where the circumstances of the accident are unclear, whether it occurred in a traffic context (e.g., on a road near a railway crossing) or in a nontraffic context (e.g., on private property). The injuries can range from minor abrasions to severe trauma, including fractures or head injuries, depending on the speed of the train and the circumstances of the collision. Accurate coding is essential for tracking injury patterns, understanding public health implications, and ensuring appropriate resource allocation for prevention strategies. This code is vital for emergency departments, trauma centers, and public health officials monitoring pedestrian safety and injury prevention efforts.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in determining traffic vs. nontraffic accident context
  • Variability in injury severity and documentation requirements
  • Need for detailed accident descriptions to support coding
  • Potential for multiple external cause codes to be applicable

Audit Risk Factors

  • Inadequate documentation of the accident context (traffic vs. nontraffic)
  • Failure to capture the full extent of injuries sustained
  • Misclassification of the incident type leading to incorrect coding
  • Lack of specificity in the medical record regarding the skateboard involvement

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, location of the accident, and any relevant witness statements to support the use of V05.92.

Common Clinical Scenarios

Patients presenting with injuries from skateboard accidents involving trains, often requiring immediate assessment and intervention.

Billing Considerations

Consideration of other injuries that may require additional coding, such as head trauma or fractures.

Trauma Surgery

Documentation Requirements

Trauma surgeons need detailed operative notes that describe the nature of injuries and the circumstances of the accident.

Common Clinical Scenarios

Trauma cases involving severe injuries from collisions with trains, necessitating surgical intervention.

Billing Considerations

Accurate coding is crucial for trauma registries and for understanding injury patterns in the population.

Coding Guidelines

Inclusion Criteria

Use V05.92 When
  • According to ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is important to report the external cause code to provide context for the injury and to ensure comprehensive data collection

Exclusion Criteria

Do NOT use V05.92 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used for initial evaluation of a patient presenting with injuries from a skateboard-train collision.

Documentation Requirements

Document the patient's presenting complaints, history of the present illness, and examination findings.

Specialty Considerations

Emergency medicine specialists should ensure that all relevant injuries are documented for accurate coding.

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 of injuries, including those involving skateboards and railway vehicles. This specificity aids in better tracking and prevention efforts.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those involving skateboards and railway vehicles. This specificity aids in better tracking and prevention efforts.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those involving skateboards and railway vehicles. This specificity aids in better tracking and prevention efforts.

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 V05.92?

Document the mechanism of injury, the context of the accident (traffic vs. nontraffic), and any relevant details about the skateboard involvement and injuries sustained.