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ICD-10 Guide
ICD-10 CodesV05.93

V05.93

Billable

Pedestrian on standing micro-mobility pedestrian conveyance 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 V05.93 is a billable code used to indicate a diagnosis of pedestrian on standing micro-mobility pedestrian conveyance injured in collision with railway train or railway vehicle, unspecified whether traffic or nontraffic accident.

Key Diagnostic Point:

This code is used to classify injuries sustained by pedestrians using standing micro-mobility conveyances, such as e-scooters or standing bicycles, when involved in a collision with a railway train or vehicle. The code does not specify whether the incident occurred in a traffic or non-traffic context, which can complicate the coding process. Clinical scenarios may include a pedestrian on a micro-mobility device being struck by a train at a crossing or in a station. Accurate documentation is crucial to capture the circumstances of the incident, including the location, time, and nature of the conveyance involved. This code is particularly relevant in urban settings where micro-mobility options are prevalent and may intersect with railway infrastructure, leading to unique injury patterns that require careful coding to ensure proper tracking of external causes of morbidity and mortality.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity regarding traffic vs. non-traffic classification
  • Need for precise documentation of the incident context
  • Variability in micro-mobility device definitions
  • Potential for multiple external cause codes to be applicable

Audit Risk Factors

  • Inadequate documentation of the incident details
  • Misclassification of traffic vs. non-traffic accidents
  • Failure to capture the specific type of micro-mobility device
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, type of conveyance, and circumstances surrounding the collision.

Common Clinical Scenarios

Patients presenting with trauma after being struck by a train while using a standing micro-mobility device.

Billing Considerations

Consider the need for additional codes to capture specific injuries sustained during the incident.

Trauma Surgery

Documentation Requirements

Trauma documentation should include detailed descriptions of injuries, surgical interventions, and the context of the accident.

Common Clinical Scenarios

Trauma cases involving severe injuries from train collisions with micro-mobility users.

Billing Considerations

Ensure that all injuries are accurately coded and that the external cause code reflects the incident accurately.

Coding Guidelines

Inclusion Criteria

Use V05.93 When
  • Follow the ICD
  • CM guidelines for external cause codes, ensuring that the code is used in conjunction with the appropriate injury codes
  • Document the circumstances of the injury thoroughly to support the use of this code

Exclusion Criteria

Do NOT use V05.93 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 with severe injuries from a train collision.

Documentation Requirements

Document the severity of injuries and the need for emergency intervention.

Specialty Considerations

Emergency medicine specialists should ensure that all relevant details of the incident are captured.

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 collection and analysis for public health initiatives related to micro-mobility injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data collection and analysis for public health initiatives related to micro-mobility injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data collection and analysis for public health initiatives related to micro-mobility injuries.

Resources

Clinical References

  • •
    CDC Injury Prevention & Control

Coding & Billing References

  • •
    CDC Injury Prevention & Control

Frequently Asked Questions

What should I document to support the use of V05.93?

Document the type of micro-mobility device, the circumstances of the collision, and any injuries sustained. Include details about the location and whether the incident was traffic-related.